Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RUSSEL VERNE BRUBAKER MD
NPI 1437259793
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Q: What is Russel Brubaker's NPI number?

The NPI number for Russel Brubaker is 1437259793. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Russel Brubaker's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Russel Brubaker was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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 September 25, 2006PECOS EnrolledAccepts Medicare Assignment

1939 DIVISION AVE S, GRAND RAPIDS, MI 49507(616) 247-3815(616) 245-0450 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Nov 6, 2024, Dec 21, 2020 (3 updates tracked since 2020).

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About Dr. Russel Verne Brubaker Md NPPES

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

DR. RUSSEL VERNE BRUBAKER MD (NPI 1437259793) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301040147) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alto, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1437259793

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. RUSSEL VERNE BRUBAKERCredential: MD

Location Address1939 DIVISION AVE SGrand Rapids, MI 49507-2480

Mailing AddressPo Box 44Alto, MI 49302-0044 · (616) 868-7115

Phone(616) 247-3815

Fax(616) 245-0450

Sole ProprietorYes

Medical School CMSOtherGraduated 1976

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1437259793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 4301040147

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1939 DIVISION AVE S, Grand Rapids, MI 49507

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Secondary Practice Location 1

Location 111751 Rural Acres Dr SEAlto, MI 49302-9577 · Phone (616) 868-7115

Other Identifiers 2

Medicaid4166801MI

OtherRB040147MI · Bcbs Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russel Verne Brubaker Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860442274

PECOS Enrollment IDI20050124000893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

GRACE ZEPPI

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