Blake Jay Brooks in Columbia - Nephrology

Blake Jay Brooks - NPI 1255337390

Blake Jay Brooks is a Nephrology in Columbia, Missouri. Blake Jay Brooks practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Blake Jay Brooks is 1255337390. The last update date is 2022-10-05.

Blake Jay Brooks's current location address is 1205 W Broadway, Columbia, Missouri. You can contact this provider via phone number 5734990642 and fax number 5734491787. The mailing address for Blake Jay Brooks is 1205 W Broadway, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Blake Jay Brooks
Address 1205 W Broadway, Columbia, Missouri
Phone Number 5734990642
Fax Number 5734491787
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1255337390
Provider Enumeration Date 2005-06-23
Last Updated Date 2022-10-05

Provider Mailing Address Detail

Address 1205 W Broadway
City Columbia
State Missouri (MO)
Post Code 652032125
Phone Number 5734990642
Fax Number 5734491787

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 119892
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1963097 MO FIRST HEALTH
42482 MO HEALTHCARE USA
H51820 MO MERCY
539285 MO HEALTHLINK
431535214 MO TRICARE
623655 MO HUMANA
143480 MO GROUP HEALTH PLANS
208373407 MO --
3100264 MO UNITED HEALTHCARE
P01764602 MO RAILROAD MEDICARE

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FAQs about Blake Jay Brooks

What is the unique 10-digit identification code issued to Blake Jay Brooks by the Centers for Medicare & Medicaid Services?

The Blake Jay Brooks has been assigned the NPI (National Provider Identifier) 1255337390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Blake Jay Brooks's facilities are geographically located?

The facilities of Blake Jay Brooks are physically situated at the following location: 1205 W Broadway, Columbia, MO, 652032125.

What is Blake Jay Brooks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Blake Jay Brooks is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.

On what date did Blake Jay Brooks receive its 1255337390 assignment from the Centers for Medicare & Medicaid Services?

The Blake Jay Brooks was assigned its 1255337390 on 2005-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Blake Jay Brooks most recently updated or revised?

The details related to Blake Jay Brooks, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-05.

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