Brookfield Family Health Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

R9F17 Issued in MO

Legal business name

BROOKFIELD FAMILY HEALTH CLINIC

Practice address

624 West Lockling
Brookfield, MO 64628-2336

Phone

(660) 258-3363

Fax

(660) 258-5409

NPI assigned

Nov 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Kevin Knowles, D.O.NPI 1033212279

Title

Physician/Owner

Phone

(660) 258-3363

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Kevin Knowles, D.O.

  • Family Medicine Physician
  • Brookfield, MO
  • NPI 1033212279
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1285901397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 WEST LOCKLING",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282336",
            "telephone_number": "660-258-3363",
            "fax_number": "660-258-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 WEST LOCKLING",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282336",
            "telephone_number": "660-258-3363",
            "fax_number": "660-258-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "660-258-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "R9F17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242289007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Louise Arnold, DNP FNP-C
• Patsy L. Asher, CF CERIFIED FITTER
• Rochelle Gaye Brackey, RPH
• Bristol Care, Inc.
• Brookfield Family Health Clinic
• Brookfield Family Health Clinic PC
• Brookfield Health Care Center, L.L.C.
• Brookfield Medical Clinic
• Brookfield Medical Investors, LLC
• Brookfield Physical Therapy,Inc.

• Rural Health Clinic/Center in Brookfield, MO
• Providers in Brookfield, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.