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MARY LOUISA BRUBAKER PA
NPI 1336117134
Family Medicine in Flagstaff, AZ

Active since March 09, 2006
2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 213-6121(928) 213-6136 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Louisa Brubaker Pa NPPES

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

MARY LOUISA BRUBAKER PA (NPI 1336117134) is an individual family medicine provider in Flagstaff, Arizona, licensed in Arizona (2368) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1336117134
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY LOUISA BRUBAKERCredential: PA
Location Address2920 N 4TH STFlagstaff, AZ 86004-1816
Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 213-6121 · Fax (928) 213-6136
Phone(928) 213-6121
Fax(928) 213-6136
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1336117134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 2368
Definition
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.
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 7108 (AZ)
2920 N 4TH ST, Flagstaff, AZ 86004
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Other Identifiers 1

Medicare UPINP60059AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUNYA COPE LPC
Counselor (Professional)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
CHLOE STRIKE RDH
Dental Hygienist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
KARIS HINAE JO YUN CHOY
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
DR. JORDAN MICHAEL HAHN PHARMD
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
DR. JOHN PAUL GRAZIANO M.D.
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400
KATRINA MIKITIK RN
Registered Nurse
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 864-9374
EMILY H NIETO DMD, MPH
Dentist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9405
KATRINA BURLEIGH WILSON DO
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 522-9400

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 Mary Brubaker's NPI number?

The NPI number for Mary Brubaker is 1336117134. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Mary Brubaker located?

Mary Brubaker practices at 2920 N 4th St, Flagstaff, AZ 86004. The listed phone number is (928) 213-6121.

What is Mary Brubaker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Brubaker was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.