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Contact Information

BLAKE J BROOKS, MD
1205 W BROADWAY
COLUMBIA, MO65203-2125
 Phone: 573-499-0642
 Fax: 573-449-1787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLAKE J BROOKS · (Male)

NPI # 1255337390
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2005
Last updated 10/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 119892
  • MO Medicaid 208373407
  • MO Other 7359531 AETNA
  • MO Other 178793 BLUE CROSS BLUE SHIELD
  • MO Other 1963097 FIRST HEALTH
  • MO Other 143480 GROUP HEALTH PLANS
  • MO Other 42482 HEALTHCARE USA
  • MO Other 539285 HEALTHLINK
  • MO Other 000623655 HUMANA
  • MO Other H51820 MERCY
  • MO Other 110245813 RAILROAD MEDICARE
  • MO Other P01764602 RAILROAD MEDICARE
  • MO Other 431535214 TRICARE
  • MO Other 3100264 UNITED HEALTHCARE
Hospital affiliation(s)
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
  • BOTHWELL REGIONAL HEALTH CENTER - (Acute Care)
    601 E 14TH ST
    SEDALIA, MO 65302
  • FITZGIBBON MEMORIAL HOSPITAL - (Acute Care)
    2305 S 65 HIGHWAY
    MARSHALL, MO 65340
  • LAKE REGIONAL HEALTH SYSTEM - (Acute Care)
    54 HOSPITAL DRIVE
    OSAGE BEACH, MO 65065
  • ST MARYS HEALTH CENTER - (Acute Care)
    100 ST MARY'S MEDICAL PLAZA
    JEFFERSON CITY, MO 65101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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