Active NPI
Braxton William Price, M.D.
- Adult Medicine Physician
- Lady Lake, FL
National Provider Identifier
1114081965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME11805
- Practice address
- 1411 Meadow View Way
Lady Lake, FL 32159-2536 - Phone
- (352) 350-2883
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME11805 | FL | Primary |
Addresses
Primary practice location
1411 Meadow View Way
Lady Lake, FL 32159-2536
Mailing address
1411 Meadow View Way
Lady Lake, FL 32159-2536
Phone (352) 350-2883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049348101 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Facilitists, LLC | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Longwood, FL
- NPI 1043252307
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1114081965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MEADOW VIEW WAY",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321592536",
"telephone_number": "352-350-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MEADOW VIEW WAY",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321592536",
"telephone_number": "352-350-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "BRAXTON",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME11805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049348101",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.