Individual
DR. KENNETH RYAN BROOKS
Active
Individual
DR. KENNETH RYAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301088759
MI
207X00000X
Orthopaedic Surgery Physician
Primary
N3515
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
N3515
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4301088759
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
N3515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206898301
—
TX
05
—
206898304
—
TX
05
—
5209565
—
MI
01
—
8FU628
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/17/2007
Last updated
03/18/2026
Update your record
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