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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Elliott Dale Brubaker, O.D.

Optometrist in Eagan, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508969403

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Registry record

Entity type Individual (Type 1)
Name Dr. Elliott Dale Brubaker
Credential O.D.
Sex Male
Practice address 1270 Promenade Pl Ste 120, Eagan, MN, 55121
Enumeration date Sep 6, 2006
Last updated in NPPES Aug 14, 2019

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 2514 (MN) Primary
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1508969403 active?
Yes — as of the latest NPPES snapshot, NPI 1508969403 is active (record last updated 2019-08-14).
How do I verify Elliott Brubaker's NPI record?
Cross-check NPI 1508969403 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-14.