Individual
KYLE THOMAS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3519
TN
363AS0400X
Surgical Physician Assistant
3519
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086785
—
AZ
01
—
5550830001
MEDICARE NSC SCW
AZ
01
—
5550830003
MEDICARE NSC PEORIA
AZ
01
—
5550830007
MEDICARE NSC DV
AZ
01
—
5550830010
MEDICARE NSC GILBERT
AZ
05
—
Q036362
—
TN
Enumeration date
06/12/2006
Last updated
07/21/2025
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