BOBBY J. BROOKS M.D. NPI 1619005535

NPI Information

  • NPI: 1619005535
  • Provider Name: BOBBY J. BROOKS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 127 KINGSWOOD DR
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Phone: (270) 789-3410

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NPI Details

BOBBY J. BROOKS, M.D. is a family medicine in Campbellsville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOBBY J. BROOKS, M.D. NPI is 1619005535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

127 KINGSWOOD DR
CAMPBELLSVILLE, KY
ZIP 42718-634
Phone: (270) 789-3410
Fax: (270) 465-2449

The provider's authorized official is Bobby J. Brooks .
The authorized official title is President and has the following contact phone number (270) 789-3410.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 3/25/2008.

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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

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
1000000051793OTHERKENTUCKYANTHEM
201-00154OTHERKENTUCKYUNITED HEALTHCARE
378901006MEDICAIDKENTUCKY
40628803MEDICARE PINKENTUCKY
56288MEDICARE PINKENTUCKY
6C70953MEDICARE UPINKENTUCKY
76288MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
865902504MEDICAIDKENTUCKY

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: 3/30/2025

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