Individual
DR. FRANK W BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
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
036-074275
IL
207RN0300X
Nephrology Physician
D0021892
MD
207RN0300X
Nephrology Physician
MD018849E
PA
207RN0300X
Nephrology Physician
N-8307
AR
207RN0300X
Nephrology Physician
Primary
R9D58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096561
HEALTH ALLIANCE
—
05
—
110164001
—
AR
01
—
110179816
RAIL ROAD MEDICARE
—
01
—
1370190
COVENTRY HEALTHCARE
—
01
—
149786
HEALTHLINK
MO
05
—
202071478
—
MO
05
—
209765221
—
MO
01
—
4430
BLUE CROSS BLUE SHIELD
MO
01
—
5J228
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/15/2006
Last updated
10/20/2020
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