Matthew David Brooks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795

Phone

(859) 259-2635

NPI assigned

Feb 22, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Primary Health Care Center, Inc.Group PAC ID 7810326915, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bluegrass Primary Health Care Center, Inc.

  dba Bluegrass Community Health Center-Versailles Road

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1215567474
  Medicare reassignment Care Compare group
• Bluegrass Primary Health Care Center, Inc.

  dba Bluegrass Community Health Center-New Life

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1073144481
  NPD
• Bluegrass Primary Health Care Center, Inc.

  dba Bluegrass Community Health Center-George Rogers Clark HighSchoolClinic

  • Federally Qualified Health Center (FQHC)
  • Winchester, KY
  • NPI 1447009303
  NPD
• Eastern Kentucky University

  dba Bluegrass Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1831386192
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1689329310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Brooks
• Jacob Ryan Brooks
• James Donald Brooks, M.S.ED.
• Jennifer Anne Brooks, D.C.
• Linda Sue Brooks, MS, RD, CDE
• Robert Taylor Brooks, MD
• Stephen Nathaniel Brooks, APRN
• Tomerial B Brooks, LCSW
• Trae Chatfield Brooks, MD
• William Houston Brooks, MD

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.