person
Dr. Blake Jay Brooks, MD
Nephrology Physician in Columbia, Missouri
NPI 1255337390

Blake Jay Brooks is a Nephrology Physician based in Columbia, MO and is specialized in Nephrology. Blake Jay Brooks practices in Columbia, MO and has the professional credentials of MD. The NPI Number for Blake Jay Brooks is 1255337390 and holds a License No. 119892 (Missouri).

The current practice location address for Blake Jay Brooks is 1205 W Broadway, Columbia, MO and can be reached out via phone at 573-499-0642 and via fax at 573-449-1787.

Location: 1205 W Broadway, Columbia, MO, 65203-2125
person
Provider Profile Details
NPI Number
1255337390
Provider Name
Blake Jay Brooks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1205 W Broadway, Columbia, MO, 65203-2125
Phone Number
573-499-0642
Fax Number
573-449-1787
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1963097 01 MO FIRST HEALTH
42482 01 MO HEALTHCARE USA
H51820 01 MO MERCY
539285 01 MO HEALTHLINK
431535214 01 MO TRICARE
000623655 01 MO HUMANA
143480 01 MO GROUP HEALTH PLANS
208373407 05 MO
3100264 01 MO UNITED HEALTHCARE
P01764602 01 MO RAILROAD MEDICARE
110245813 01 MO RAILROAD MEDICARE
178793 01 MO BLUE CROSS BLUE SHIELD
7359531 01 MO AETNA
institution
Provider Business Practice Location Address Details
Address
1205 W Broadway
City
State
Zip
65203-2125
Phone Number
573-499-0642
Fax Number
573-449-1787
person
Provider Business Mailing Address Details
Address
1205 W Broadway
City
State
Zip
65203-2125
Phone Number
573-499-0642
Fax Number
573-449-1787
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
119892 (Missouri)
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.
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