Provider Demographics
NPI:1629697180
Name:BRUBAKER, MARGARET RACHEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RACHEL
Last Name:BRUBAKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-747-3969
Mailing Address - Fax:877-869-8163
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM GENERAL MED, STE 12B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-747-3969
Practice Address - Fax:877-869-8163
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2025-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2024007576207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200127289Medicaid