Jacob Robert Lynn Brubaker, C.P.O.
NPI 1275880015ActiveIndividual· Prosthetist· Bonney Lake, WA
Prosthetist (C.P.O.) in Bonney Lake, Washington, with an NPI issued in August 2012.
Overview
| NPI | 1275880015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C.P.O. |
| Sole proprietor | No |
| NPI issued | Aug 10, 2012 |
| Last updated in NPPES | Dec 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthetist Primary | 224P00000X | — | — |
| Orthotist | 222Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Prosthetist providers in Bonney Lake
- 1699313742