HERMAN WALLACE BRUBAKER MD NPI 1609870054

NPI Information

  • NPI: 1609870054
  • Provider Name: HERMAN WALLACE BRUBAKER, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12 ST PAUL DR STE 101
    CHAMBERSBURG, PA
    ZIP 17201
  • Phone: (717) 217-6760

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NPI Details

Herman Wallace Brubaker, MD is a family medicine in Chambersburg, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Herman Wallace Brubaker, MD NPI is 1609870054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 ST PAUL DR STE 101
CHAMBERSBURG, PA
ZIP 17201-035
Phone: (717) 217-6760
Fax: (717) 217-6912

The NPI 1609870054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Administration of vaccine (HCPCS:90471)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) (HCPCS:90715)

The enumeration date for this NPI number is 6/13/2005 and was last updated on 3/7/2023.

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
1207Q00000XFamily MedicineMD028694EPENNSYLVANIAYes

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
1080086589OTHERPENNSYLVANIARAILROAD MEDICARE
24397945OTHERPENNSYLVANIAAETNA NON-HMO
3867633OTHERPENNSYLVANIAMEDICARE GROUP #
425-1716306OTHERPENNSYLVANIAMULTIPLAN/PHCS
5426224OTHERPENNSYLVANIAHEALTH AMERICA
6P006020OTHERPENNSYLVANIAGATEWAY
71806901OTHERPENNSYLVANIACAPITAL BLUECROSS
825-1716306OTHERPENNSYLVANIAINFORMED
925-1716306OTHERPENNSYLVANIADEVON
1025-1716306OTHERPENNSYLVANIASOUTH CENTRAL PREFERRED
11000908788MEDICAIDPENNSYLVANIA
12247728OTHERPENNSYLVANIAMAMSI
13122715OTHERPENNSYLVANIAUNISON
14666058OTHERPENNSYLVANIAFIRST HEALTH
15MD028694EOTHERPENNSYLVANIALICENSE
16120420409OTHERPENNSYLVANIADEPT OF LABOR
1725-1716306OTHERPENNSYLVANIAINTERGROUP
1825-1716306OTHERPENNSYLVANIAGREATWEST
19842753OTHERPENNSYLVANIAAETNA HMO
20BR426736OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

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: 11/21/2025

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