Individual
DR. BRANDON S RUBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 ASHVILLE AVE, CARY, NC 27518-6118
(919) 576-2330
(919) 854-7842
Mailing address
7153 TALTON RIDGE DR, CARY, NC 27519-9002
(269) 290-3664
(919) 854-7842
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301075887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156574
GREAT LAKES HLTH PLAN
—
01
—
3403912292
BCBS IND PIN
—
01
—
340C910480
BCBS GRP PIN
—
05
—
488522410
—
MI
Enumeration date
07/06/2006
Last updated
05/05/2015
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