Bobby Joe Brooks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17421 Issued in KY

Practice address

127 Kingswood Dr
Campbellsville, KY 42718-9634

Phone

(270) 789-3410

Fax

(270) 465-2449

NPI assigned

Jun 23, 2005

Reactivated

Mar 22, 2006

Last updated

Jul 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.9 of 100Reported as group

Quality

85.93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bobby J. Brooks, M.D.

  • Nurse Practitioner
  • Campbellsville, KY
  • NPI 1386816973
  NPD (past) Authorized official
• Bobby J. Brooks, M.D.

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1619005535
  NPD (past) Authorized official
• Central Cardiology Associates PLLC

  • Cardiovascular Disease Physician
  • Elizabethtown, KY
  • NPI 1265496483
  NPD (past)
• Genesis Enterprises, Inc.

  dba Family Medical Center

  • Family Medicine Physician
  • Columbia, KY
  • NPI 1730243858
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1689670671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189634",
            "telephone_number": "270-789-3410",
            "fax_number": "270-465-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189634",
            "telephone_number": "270-789-3410",
            "fax_number": "270-465-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BOBBY",
        "middle_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-07-21",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "17421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Brents
• Michael Clelland Brents, PT, DPT
• Amanda Diane Bright
• Brightview LLC
• Broken to Blessed Recovery Inc
• Shayla Brown
• Jessica Nicole Browning, APRN
• Barbara Sue Bryant
• Debra Bradshaw Buckman, MS, CCC-SLP
• Sarah Elaine Buckman, AU.D.

• Family Medicine Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.