Bobby J. Brooks, M.D.
Organization Active NPI Nurse Practitioner · Campbellsville, KY
NPI 1386816973 · NPPES record last updated Mar 24, 2008
Key facts
- NPI
- 1386816973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- BOBBY J. BROOKS, M.D.
- Practice address
- 127 Kingswood Dr
Campbellsville, KY 42718-9634 - Phone
- (270) 789-3410
- Fax
- (270) 465-2449
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Bobby J Brooks, M.D.
- Title
- President
- Phone
- (270) 789-3410
Corporate family (same tax ID) 1
Practitioners 1
-
Bobby Joe Brooks, MD
National Provider Directory
- Tax ID family
- Bobby J Brooks MD
Locations
127 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-3410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
127 Kingswood Dr
Campbellsville, KY 42718-9634
Mailing address
127 Kingswood Dr
Campbellsville, KY 42718-9634
Phone (270) 789-3410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78901006 | Medicaid | KY |
Other providers in Campbellsville, KY
- Faron Blakeman
- Danny Blanton Jr.
- Heather June Blanton
- Bloom Supports
- Bluegrass Horizon LLC
- Bobby J. Brooks, M.D.
- Dan George Bodeanu
- Chelsey Boils
- Jennifer Carole Boils
- Callie Elizabeth Boone
All providers in Campbellsville, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.