Bobby J. Brooks, M.D.
LBN: Bobby J. Brooks, M.D.
Bobby J. Brooks, M.D. is an health care organization with primary practice located at 127 Kingswood Dr , Campbellsville KY 42718-9634. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Bobby J. Brooks, M.D. can be contacted via phone (270) 789-3410, or through Brooks, Bobby J. via phone (270) 789-3410.
Contact Information
Primary practice address
127 Kingswood Dr
Campbellsville KY 42718-9634
Phone: (270) 789-3410
Fax: (270) 465-2449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1619005535 |
|---|---|
| LBN Legal business name | Bobby J. Brooks, M.D. |
| DBA Doing business as | |
| Authorized official | Brooks, Bobby J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Mar 25th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619005535 | NPPES |
| Kentucky | MEDICAID | 78901006 | |
| Kentucky | Other | 01-00154 | |
| Kentucky | Other | 000000051793 | |
| Kentucky | MEDICAID | 65902504 |
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