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Individual

DR. BROOK THOMAS MASSEY

Active
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Individual

DR. BROOK THOMAS MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25606
AL
207Q00000X
Family Medicine Physician
Primary
34690
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389694
ANTHEM
KY
01
—
000000555430
ANTHEM- NORTON
KY
01
—
000023032T
HUMANA- NORTON
KY
05
—
051555189
—
AL
01
—
3513870000
PASSPORT ADVANTAGE- NORTON CMA- TYLER CTR
KY
01
—
50019322
PASSPORT- NCMA
KY
01
—
515-25606
SHO BCBSAL
AL
05
—
64346901
—
KY
01
—
6434690100
MEDICAID KY- NORTON COMMUNITY MEDICAL ASSOCIATES
KY
Enumeration date
06/14/2005
Last updated
03/07/2023
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