DR. KENNETH L BROOKS (NPI# 1427380930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427380930 |
| Entity Type | Individual |
| Full Name | DR. KENNETH L BROOKS |
| Credential | M.D. |
| Practice Address |
10965 W Center Street Ext Medina NY 14103-9301 |
| Mailing Address |
Po Box 11 Medina NY 14103-0011 |
| Practice Telephone | 5857981807 |
| Mailing Telephone | 5857981807 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
109363 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677905 | Kenneth Brooks Jr. | Music Therapist | 501 Pecan Acres Ct, Arlington, TX 76013-7100 | 2015-04-24 |
| 1598989857 | Kenneth H Brooks | Dermatology | 846 Camino Ranchitos, Santa Fe, NM 87505-2840 | 2007-04-11 |
| 1841338696 | Kenneth Wayne Brooks | Optometrist | 2305 S Tucker St, Pittsburg, KS 66762-6530 | 2007-02-02 |
| 1104465210 | Kenneth Brooks | Behavior Technician | 3150 Crow Canyon Pl Ste 110, San Ramon, CA 94583-1716 | 2020-01-06 |
| 1568026912 | Kenneth Brooks | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2019-04-30 |
| 1760851661 | Kenneth Mark Brooks | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-09-21 |
| 1750584298 | Kenneth E. Brooks II | Dentist | 676 N Michigan Ave, Suite 3500, Chicago, IL 60611-2883 | 2007-06-11 |
| 1093930562 | Kenneth Ryan Brooks | Orthopaedic Surgery | 2020 Nasa Pkwy, Suite 230, Houston, TX 77058-3683 | 2007-04-17 |
| 1568515153 | Kenneth W Brooks | Physician Assistant | 825 Ne 10th St, Oupb5200, Oklahoma City, OK 73104-5417 | 2007-01-19 |
| 1770630261 | Kenneth Brooks | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2007-01-05 |
| Street Address |
10965 W CENTER STREET EXT |
| City | MEDINA |
| State | NY |
| Zip Code | 14103-9301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
| 1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
| 1548395429 | Salvatore Russell Pecoraro | Emergency Medicine | 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 | 2007-02-22 |
| 1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
| 1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
| 1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
| 1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
| 1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
| Find all providers in zip 14103 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744587 | Walter L George Jr. | Radiology | 1000 E Washington St, Medina, OH 44256-2170 | 2005-07-19 |
| 1518288216 | University Hospitals Medical Group, In | Radiology | 4001 Carrick Dr, Medina, OH 44256-5387 | 2010-06-16 |
| 1780839886 | Dale Warren Sponaugle, Md, PC | Radiology | 200 Ohio St, Medina, NY 14103-1063 | 2008-11-18 |
| 1639217987 | Radiology Professionals, Inc. | Radiology | 1000 E Washington St, Medina, OH 44256-2170 | 2007-02-01 |
| 1023018462 | Dale W Sponaugle | Radiology | 200 Ohio St, Medina, NY 14103-1063 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1114540366 | Hudson Valley Radiologists, PC | Radiology | 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1023631272 | Hudson Valley Radiologists, PC | Radiology | 3 Riding Ridge Trl, Beacon, NY 12508-7023 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.