BRENT THOMAS BUBANY MD
NPI 1902610272
General Practice in Tacoma, WA

Active since February 05, 2025PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1250 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Feb 10, 2025, Feb 5, 2025 (3 updates tracked since 2025).

About Brent Thomas Bubany Md NPPES

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

BRENT THOMAS BUBANY MD (NPI 1902610272) is an individual general practice provider in Tacoma, Washington, licensed in Washington (MDRE.ML.70031906) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902610272
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRENT THOMAS BUBANYCredential: MD
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1250
Sole ProprietorNo
Enumeration DateFebruary 5, 2025
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1902610272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WA · MDRE.ML.70031906
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9040 JACKSON AVE, Tacoma, WA 98431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brent Thomas Bubany Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Brent Bubany's NPI number?

The NPI number for Brent Bubany is 1902610272. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Brent Bubany located?

Brent Bubany practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1250.

What is Brent Bubany's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brent Bubany enrolled in Medicare?

Yes. Brent Bubany is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Bubany was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.