Individual
MICHAEL A BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
200200206
NC
2085R0202X
Diagnostic Radiology Physician
Primary
0101268718
VA
2085R0202X
Diagnostic Radiology Physician
200200206
NC
2085R0202X
Diagnostic Radiology Physician
40223
KY
2085R0204X
Vascular & Interventional Radiology Physician
200200206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40223
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
12/06/2005
Last updated
11/01/2021
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