Thomas Newby Braxtan III, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0050553 Issued in FL

Practice address

508 Manatee Ave E
Bradenton, FL 34208-1146

Phone

(941) 744-0024

Fax

(941) 746-1048

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidney Disease Consultants of Bradenton PA

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1609982214
  NPD (past) Authorized official
• Manasota Vascular Center, LLC

  • Medical Specialty Clinic/Center
  • Sarasota, FL
  • NPI 1245513449
  NPD (past)
• National Kidney Partners, LLP

  • Nephrology Physician
  • Hudson, FL
  • NPI 1780684795
  NPD (past)
• Southwest Florida Dialysis Center PA

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bradenton, FL
  • NPI 1649473828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104932771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081146",
            "telephone_number": "941-744-0024",
            "fax_number": "941-746-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081146",
            "telephone_number": "941-744-0024",
            "fax_number": "941-746-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTAN",
        "first_name": "THOMAS",
        "middle_name": "NEWBY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0050553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA MEDICAL LICENSE",
            "identifier": "10482",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Olson Brainard, MD
• Joseph M Branconi, MD
• Brett Joseph Brandon, PHYSICIAN ASSISTANT
• Alison L Brandt, PA-C
• Gladys Branic, MD
• Bray Park Inpatient Services, LLC
• Connor Joseph Breidenbach, DO
• Cheryl Gavin Breining
• Brendon Connolly, MD PL
• Nancie Jean Brenes, DOM, AP

• Nephrology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.