BOBBY JOE BROOKS (NPI# 1689670671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689670671 |
| Entity Type | Individual |
| Full Name | BOBBY JOE BROOKS |
| Credential | MD |
| Practice Address |
127 Kingswood Dr Campbellsville KY 42718-9634 |
| Practice Telephone | 2707893410 |
| Practice Fax Number | 2704652449 |
| Mailing Telephone | 2707893410 |
| Mailing Fax Number | 2704652449 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-07-21 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17421 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64174212 | 05 |
| Street Address |
127 KINGSWOOD DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386816973 | Bobby J. Brooks, M.d. | Nurse Practitioner | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2008-03-24 |
| 1619005535 | Bobby J. Brooks, M.d. | Nurse Practitioner | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2007-03-01 |
| 1669421624 | Dek Health Alliance LLC | Durable Medical Equipment & Medical Supplies | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033320205 | Cassandra Stephens, Md, Psc | Family Medicine | 70 Ubermonkey Lane, Campbellsville, KY 42718-2571 | 2007-05-26 |
| 1710088877 | John Kenneth Garner | Family Medicine | 1846 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2006-09-25 |
| 1710983564 | Cassandra Stephens | Family Medicine | 70 Ubermonkey Ln, Campbellsville, KY 42718-5217 | 2005-06-27 |
| 1548782758 | William Griffin Tucker | Family Medicine | 67 Kingswood Dr, Campbellsville, KY 42718 | 2017-07-10 |
| 1790158699 | Tucker Family Medicine, Psc | Family Medicine | 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718-9617 | 2015-11-02 |
| 1275944589 | Tucker Family Medicine Psc | Family Medicine | 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718-9617 | 2014-05-08 |
| 1699030031 | Taylor Regional Medical Group, LLC | Family Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2012-07-11 |
| 1518220227 | Taylor Regional Hospital Urgent Care Center,llc | Family Medicine | 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2012-06-18 |
| 1821316290 | John K Garner Md Psc | Family Medicine | 1846 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2010-05-11 |
| 1659505113 | Summer Raye Tucker | Family Medicine | 105 Greenbriar Dr, Campbellsville, KY 42718-9617 | 2009-05-12 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.