MEDICARE: DR. WILLIAM HOUSTON BROOKS MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	15475	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1659376101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HOUSTON BROOKS MD

Provider Business Mailing Address
First Line	:	1760 NICHOLASVILLE RD
Second Line	:	STE 301
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1471
Country	:	US
Telephone Number	:	859-277-6143
Fax Number	:	859-277-8659

Provider Business Practice Location Address
First Line	:	1760 NICHOLASVILLE RD
Second Line	:	STE 301
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1471
Country	:	US
Telephone Number	:	859-277-6143
Fax Number	:	859-277-8659

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	12/10/2020

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