Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. ROGER A BROOKSBANK
Active
Individual
DR. ROGER A BROOKSBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00496306A
—
GA
01
—
0128420
BLUE CROSS
TN
01
—
3049873
BLUE CROSS
TN
05
—
3073712
—
TN
01
—
3081215
BLUE CROSS
TN
05
—
3817576
—
TN
05
—
3835651
—
TN
05
—
64030901
—
KY
01
—
P00231945
RAILROAD MEDICARE
TN
Enumeration date
07/11/2006
Last updated
04/24/2017
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