MEDICARE: BROOKS A HORSLEY MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	226072	NY
2	2085R0202X	Diagnostic Radiology Physician	23087	KY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1467412049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKS A HORSLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 1165
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47706-1165
Country	:	US
Telephone Number	:	800-467-2392
Fax Number	:	812-471-6650

Provider Business Practice Location Address
First Line	:	611 HAMMOND PLZ
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-4971
Country	:	US
Telephone Number	:	270-885-1950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	10/18/2023

611 HAMMOND PLZ
HOPKINSVILLE, KY
42240-4971

Practice Phone: 270-885-1950
Practice Fax: 270-885-4431

607 HAMMOND PLZ
HOPKINSVILLE, KY
42240-4971