Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NEPHROLOGY ASSOCIATES, PC
Active
Organization
NEPHROLOGY ASSOCIATES, PC
Active
Parent organization
NEPHROLOGY ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEPHROLOGY ASSOCIATES, PC
Authorized official
DR. FRANK W BRAXTON III M.D. (PRESIDENT/PHYSICIAN)
(573) 334-9564
Entity
Organization
Contact information
Practice address
2505 THREE RIVERS BLVD, POPLAR BLUFF, MO 63901-2352
(573) 727-9906
(573) 727-9335
Mailing address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117672
BLUE CROSS BLUE SHIELD
MO
05
—
500867403
—
MO
01
—
CI5170
RAIL ROAD MEDICARE
—
01
—
H8238
HEALTHLINK
—
Enumeration date
11/21/2007
Last updated
06/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up