DR. BURTON CARL BROOKS (NPI# 1629263454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629263454 |
| Entity Type | Individual |
| Full Name | DR. BURTON CARL BROOKS |
| Credential | M.D. |
| Practice Address |
250 Park St Bowling Green KY 42101-1760 |
| Mailing Address |
1431 Centerpoint Blvd Suite 100 Knoxville TN 37932-1984 |
| Practice Telephone | 2707451000 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 47383 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R3074 | KY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 47383 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
250 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133083 | Samuel F. Hardcastle | Internal Medicine | 250 Park St, Suite 6b, Bowling Green, KY 42101-1760 | 2005-06-09 |
| 1083222970 | Natasha Rasool | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-07-16 |
| 1255958328 | Suniya Naeem | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-07-06 |
| 1063034312 | Jenifer Lynn Hill | Registered Nurse | 250 Park St, Bowling Green, KY 42101-1760 | 2020-05-09 |
| 1437771946 | Krystal Mckain | Registered Nurse | 250 Park St, Bowling Green, KY 42101-1760 | 2020-05-07 |
| 1437787553 | Jack Ryan Norgren | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-04-01 |
| 1700414182 | Anup Patel | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1083242424 | Alejandro Luis Feria | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1467080911 | John Rowett Weller | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1730717034 | Eric Landon Smart | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417190703 | Phillip M Keeley | Emergency Medicine | 130 Triple Crown Ct, Bowling Green, KY 42104-8567 | 2009-04-15 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| 1558333286 | Michael J Collins | Emergency Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | 2006-02-06 |
| 1003888215 | Luana Jane Hess | Emergency Medicine | 950 Wooster St, Bowling Green, OH 43402-2603 | 2006-02-02 |
| 1326589607 | Ross Mcdermott | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2699 | 2017-03-20 |
| 1467817304 | Advanced Care Emergency Medicine Group, LLC | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2015-12-18 |
| 1235545773 | Andrew Wheeler | Emergency Medicine | 250 Park St, Bowling Green, KY 42101-1760 | 2014-07-04 |
| 1154740827 | Kristen Craig | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2014-04-10 |
| 1861836322 | Drakes Creek Emergency Physicians LLC | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2013-04-26 |
| 1073863130 | Wood County Emergency Physicians Inc | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2012-09-17 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.