# DR. BROOK THOMAS MASSEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679578058
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25606 | AL | — |
| 207Q00000X | Family Medicine Physician | 34690 | KY | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 03/07/2023

## 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 |