Individual
DR. BRAXTON MCCLUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036166670
IL
2085R0202X
Diagnostic Radiology Physician
Primary
331731
NY
2085R0202X
Diagnostic Radiology Physician
35.098082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064093
—
OH
05
—
1027686330001
—
PA
01
—
204881619
KAISER
OH
01
—
204881619259
CARESOURCE
OH
01
—
9079891
AETNA
OH
01
—
P01083159
RAILROAD MEDICARE
OH
Enumeration date
10/29/2007
Last updated
01/03/2025
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