Brookfield Medical Clinic
Organization Active NPI Family Medicine Physician · Brookfield, MO
NPI 1407266265 · NPPES record last updated May 2, 2014
Key facts
- NPI
- 1407266265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30110 (MO)
- Legal business name
- BROOKFIELD MEDICAL CLINIC
- Practice address
- 308 N Main St
Brookfield, MO 64628-1601 - Phone
- (660) 258-7544
- Fax
- (660) 258-7577
- NPI assigned
- May 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Nancy A Hutchinson, D.O.
- Title
- Owner
- Phone
- (660) 258-7544
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 30110 | MO | Yes |
Addresses
Primary practice location
308 N Main St
Brookfield, MO 64628-1601
Mailing address
PO Box 464
Brookfield, MO 64628-0464
Phone (660) 258-7544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120002207 | Other | MO | RAILROAD MEDICARE |
| 240728717 | Medicaid | MO |
Other providers in Brookfield, MO
- Bristol Care, Inc.
- Brookfield Family Health Clinic
- Brookfield Family Health Clinic
- Brookfield Family Health Clinic PC
- Brookfield Health Care Center, L.L.C.
- Brookfield Medical Investors, LLC
- Brookfield Physical Therapy,Inc.
- Brookfield R-III School District
- Brookfield SNF Opco LLC
- Pamela Brown
All providers in Brookfield, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2014. 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.