JACOB ROBERT LYNN BRUBAKER C.P.O.
NPI 1275880015
Prosthetist in Bonney Lake, WA
NPI Status: Active since August 10, 2012
Contact Information
17927 131ST ST E
BONNEY LAKE, WA
ZIP 98391
Phone: (206) 790-3890
- Individual
- Male
- Prosthetist
About JACOB BRUBAKER
This page provides the complete NPI Profile along with additional information for Jacob Brubaker, a provider established in Bonney Lake, Washington with a medical specialization in Prosthetist. The healthcare provider is registered in the NPI registry with number 1275880015 assigned on August 2012. The practitioner's primary taxonomy code is 224P00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1275880015
- Provider Name
- JACOB ROBERT LYNN BRUBAKER C.P.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17927 131ST ST E BONNEY LAKE, WA 98391
- Location Phone
- (206) 790-3890
- Mailing Address
- 3400 LATOUCHE ST SUITE 100 ANCHORAGE, AK 99508
- Mailing Phone
- (907) 561-1777
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2012
- Last Update Date
- 12-02-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetist
- Taxonomy Code
- 224P00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 222Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotist |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PO0012 | MEDICAID (05) | AK |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 8 | 8 | 0 | 0 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 16 | 8 | 0 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 6 + 8 + 0 + 0 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1275880015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275880015, enumerated in the NPI registry as an "individual" on August 10, 2012
The provider is located at 17927 131st St E Bonney Lake, Wa 98391 and the phone number is (206) 790-3890
The provider's speciality is Prosthetist with taxonomy code 224P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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