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Individual
DR. BLAKE JAY BROOKS
Active
Individual
DR. BLAKE JAY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
119892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000623655
HUMANA
MO
01
—
110245813
RAILROAD MEDICARE
MO
01
—
143480
GROUP HEALTH PLANS
MO
01
—
178793
BLUE CROSS BLUE SHIELD
MO
01
—
1963097
FIRST HEALTH
MO
05
—
208373407
—
MO
01
—
3100264
UNITED HEALTHCARE
MO
01
—
42482
HEALTHCARE USA
MO
01
—
431535214
TRICARE
MO
01
—
539285
HEALTHLINK
MO
01
—
7359531
AETNA
MO
01
—
H51820
MERCY
MO
01
—
P01764602
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
10/05/2022
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