BRYAN W RUBACH M.D. NPI 1912926205

NPI Information

NPI: 1912926205
Provider Name: BRYAN W RUBACH, M.D.
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

Organization: RUSH-COPLEY MEDICAL GROUP NFP

PECOS Registration: Yes

Address:
2040 OGDEN AVE STE 301
AURORA, IL
ZIP 60504
Phone: (630) 978-6895
Get Directions

Bryan W Rubach, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Aurora, IL with 35 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Bryan W Rubach, M.D. NPI is 1912926205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1989

The provider's business location address is:

2040 OGDEN AVE STE 301
AURORA, IL
ZIP 60504-205
Phone: (630) 978-6895
Fax: (630) 375-2905

The NPI 1912926205 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 7/18/2006 and was last updated on 7/20/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	364032123	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4506907	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	F80995	MEDICAID	ILLINOIS
3	040008621	OTHER	ILLINOIS	RAILROAD MEDICARE

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

NPI Synchronization or Removal

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