Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jon Elliott Dale Brubaker, MD

Individual provider Hospitalist Physician · NPI 1265062178

Dr. Jon Elliott Dale Brubaker, MD is an Internal Medicine in Scott AFB, Illinois. Graduated from Creighton University School of Medicine in 2020, 6 years ago. Practices with Southern Illinois Healthcare Foundation Inc, a 118-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Creighton University School of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

310 W Losey St
Scott AFB, IL 62225-5250
Phone: (618) 256-9355
Fax: (618) 256-7629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 — (618) 233-5480

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.165622 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 036.165622 (IL)

Record details

NPI number1265062178
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 20, 2020
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern Illinois Healthcare Foundation Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount