| Dr Donald Quintin Brubaker, MD | |
|
4498 Potomac Highlands Trail, Green Bank, WV 24944 | |
| (304) 456-5115 | |
| (304) 456-5118 |
| Full Name | Dr Donald Quintin Brubaker |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4498 Potomac Highlands Trail, Green Bank, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932668852 | NPI | - | NPPES |
| 1932668852 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31524 (West Virginia) | Primary |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1164653457 PECOS PAC ID: 0446232987 Enrollment ID: O20071024000166 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386083673 PECOS PAC ID: 0446232987 Enrollment ID: O20140508002191 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063808418 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002252 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063048189 PECOS PAC ID: 0446232987 Enrollment ID: O20201111000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Quintin Brubaker, MD 4498 Potomac Highlands Trail, Green Bank, WV 24944 Ph: (304) 456-5115 | Dr Donald Quintin Brubaker, MD 4498 Potomac Highlands Trail, Green Bank, WV 24944 Ph: (304) 456-5115 |