JACOB ROBERT LYNN BRUBAKER C.P.O.
NPI 1275880015
Prosthetist in Bonney Lake, WA

Q: What is Jacob Brubaker's NPI number?

The NPI number for Jacob Brubaker is 1275880015. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Q: What is Jacob Brubaker's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Brubaker was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2012

17927 131ST ST E, BONNEY LAKE, WA 98391(206) 790-3890 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jacob Robert Lynn Brubaker C.p.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ROBERT LYNN BRUBAKER C.P.O. (NPI 1275880015) is an individual prosthetist provider in Bonney Lake, Washington and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1275880015

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameJACOB ROBERT LYNN BRUBAKERCredential: C.P.O.

Location Address17927 131ST ST EBonney Lake, WA 98391-7686

Mailing Address3400 Latouche St, Suite 100Anchorage, AK 99508-4208 · (907) 561-1777 · Fax (907) 561-2157

Phone(206) 790-3890

Sole ProprietorNo

Enumeration DateAugust 10, 2012

Last NPPES UpdateDecember 2, 2019

✔ NPI 1275880015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

Definition

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.

Also ListedOrthotistTaxonomy 222Z00000X

17927 131ST ST E, Bonney Lake, WA 98391

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Other Identifiers 1

MedicaidPO0012AK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Brubaker's NPI number?

The NPI number for Jacob Brubaker is 1275880015. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Jacob Brubaker located?

Jacob Brubaker practices at 17927 131st St E, Bonney Lake, WA 98391. The listed phone number is (206) 790-3890.

What is Jacob Brubaker's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Jacob Brubaker was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.