NPIMap

Individual provider Active NPI

Brook Thomas Massey, MD

  • Family Medicine Physician
  • Shelbyville, KY
National Provider Identifier
1679578058
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34690 Issued in KY
Practice address
60 Mack Walters Rd
Shelbyville, KY 40065-1738
Phone
(502) 633-4622
Fax
(502) 633-6925
NPI assigned
Jun 14, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34690 KY Primary
Family Medicine Physician 207Q00000X 25606 AL

Addresses

Primary practice location

60 Mack Walters Rd
Shelbyville, KY 40065-1738

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 633-4622

Other identifiers 9

IdentifierTypeStateIssuer
50019322OtherKYPASSPORT- NCMA
051555189MedicaidAL
6434690100OtherKYMEDICAID KY- NORTON COMMUNITY MEDICAL ASSOCIATES
000000555430OtherKYANTHEM- NORTON
64346901MedicaidKY
3513870000OtherKYPASSPORT ADVANTAGE- NORTON CMA- TYLER CTR
000023032TOtherKYHUMANA- NORTON
000000389694OtherKYANTHEM
515-25606OtherALSHO BCBSAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000158 KY Practitioner - Family Practice 0042109845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

215 Central Ave
Suite 100
Louisville, KY 40208-1450
Phone (502) 588-8720

4031 N Dixie Hwy
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25606ALMDFamily Medicine Physician
34690KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 10, 2019 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. Family Medicine CurrentSince Oct 10, 2019 Accepting new patients
Family Practice Specialist, PC Past Accepting new patients
Jewish Hospital & St. Mary's Healthcare, Inc. Family Medicine Past Accepting new patients
Komg-Louisville Region Inc. Family Medicine Past Accepting new patients
University of Louisville Physicians Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

60 Mack Walters Rd
Shelbyville, KY 40065
Phone (502) 633-4622

Interoperability endpoints

  • Direct secure messaging: bmassey13841@uoflhealth-dm.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679578058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-633-4622",
            "fax_number": "502-633-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MACK WALTERS RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651738",
            "telephone_number": "502-633-4622",
            "fax_number": "502-633-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "BROOK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34690",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NCMA",
            "identifier": "50019322",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555189",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KY- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "6434690100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON",
            "identifier": "000000555430",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64346901",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON CMA- TYLER CTR",
            "identifier": "3513870000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON",
            "identifier": "000023032T",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389694",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHO BCBSAL",
            "identifier": "515-25606",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.