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LINDA BRUBAKER MD NPI 1053385195


NPI Information

NPI: 1053385195
Provider Name: LINDA BRUBAKER, MD
Classification: Urology - 2088F0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Organization: REGENTS OF THE UNIVESITY OF CALIFORNIA - UCSD MEDICAL GROUP

PECOS Registration: Yes

Address:
2160 S 1ST AVE
(RUSSO ENT., RM. 1016)
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-8563
Get Directions

Linda Brubaker, MD is a female pelvic medicine and reconstructive surgery urology in Maywood, IL with 40 years of experience. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Linda Brubaker, MD NPI is 1053385195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1984

The provider's business location address is:

2160 S 1ST AVE
(RUSSO ENT., RM. 1016)
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-8563
Fax: (708) 216-2275

The NPI 1053385195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 1/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology36072594ILLINOISNo
22088F0040XUrologyFemale Pelvic Medicine and Reconstructive Surgery36072594ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E64508MEDICARE UPIN
2572070MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.