Individual
DR. BROOK THOMAS MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MACK WALTERS RD, SHELBYVILLE, KY 40065-1738
(502) 633-4622
(502) 633-6925
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 633-4622
(502) 633-6925
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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