DR. BLAKE JAY BROOKS M.D. NPI 1255337390

NPI Information

  • NPI: 1255337390
  • Provider Name: DR. BLAKE JAY BROOKS, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1205 W BROADWAY
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 499-0642

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NPI Details

DR. Blake Jay Brooks, M.D. is a nephrology internal medicine in Columbia, MO with 28 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Blake Jay Brooks, M.D. NPI is 1255337390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1205 W BROADWAY
COLUMBIA, MO
ZIP 65203-125
Phone: (573) 499-0642
Fax: (573) 449-1787

The NPI 1255337390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Home dialysis services per month (20 years or older) (HCPCS:90966)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Hemodialysis procedure requiring repeated evaluation (HCPCS:90937)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth (HCPCS:G0406)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS:G0426)

The enumeration date for this NPI number is 6/23/2005 and was last updated on 10/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology119892MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11963097OTHERMISSOURIFIRST HEALTH
242482OTHERMISSOURIHEALTHCARE USA
3H51820OTHERMISSOURIMERCY
4539285OTHERMISSOURIHEALTHLINK
5431535214OTHERMISSOURITRICARE
6000623655OTHERMISSOURIHUMANA
7143480OTHERMISSOURIGROUP HEALTH PLANS
8208373407MEDICAIDMISSOURI
93100264OTHERMISSOURIUNITED HEALTHCARE
10P01764602OTHERMISSOURIRAILROAD MEDICARE
11110245813OTHERMISSOURIRAILROAD MEDICARE
12178793OTHERMISSOURIBLUE CROSS BLUE SHIELD
137359531OTHERMISSOURIAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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