NPI 1790751022 · live from the CMS NPI Registry
Phillip Daniel Brooks, m.d.
Radiology, Diagnostic Radiology in Ft. Campbell, KY. National Provider Identifier 1790751022, active.
NPI record
| NPI | 1790751022 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223 |
| Practice phone | 270-798-8372 |
| Enumerated | February 27, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 46386-020 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.