Bobby J. Brooks, M.D.
Organization Active NPI Family Medicine Physician · Campbellsville, KY
NPI 1619005535 · NPPES record last updated Mar 25, 2008
Key facts
- NPI
- 1619005535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- 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 1, 2007
- 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
704 Columbia Hwy
Greensburg, KY 42743
Phone (270) 932-4203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
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 | |
| 01-00154 | Other | KY | UNITED HEALTHCARE |
| 000000051793 | Other | KY | ANTHEM |
| 65902504 | Medicaid | KY |
Other providers in Campbellsville, KY
- 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
- Jacqueline Shannon Bott
All providers in Campbellsville, KY · Family Medicine Physician 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 25, 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.