Active NPI
Westbrook Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WESTBROOK DIALYSIS, LLC
- Practice address
- 140 West Drive
Cape Girardeau, MO 63703 - Phone
- (573) 803-2728
- NPI assigned
- Oct 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank W Braxton, MD
- Title
- President/Nephrologist
- Phone
- (573) 334-9564
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
140 West Drive
Cape Girardeau, MO 63703
Mailing address
1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone (573) 334-9564
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frank.braxton@capenephrology.com | ||
| Direct Messaging Address | frank.braxton@capenephrology.com | ||
| Direct Messaging Address | frank.braxton@capenephrology.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211115002282 | MO | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5799174678 | Practice locations: Cape Girardeau, MO |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Westbrook Dialysis, LLC
- Overall star rating
- Ownership
- Profit
- Certified
- May 2, 2022
- Medicare certification status
- Active
- Dialysis stations
- 30
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2244196 | Westbrook Dialysis | Certificate of waiver | Nov 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
140 West Dr
Cape Girardeau, MO 63703
Phone (573) 803-2728
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Cape Girardeau, MO
- NPI 1639120389
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637625600000",
"number": "1336748110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 N MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637011727",
"telephone_number": "573-334-9564",
"fax_number": "573-334-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WEST DRIVE",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-803-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTBROOK DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-22",
"last_updated": "2021-11-23",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "BRAXTON",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT/NEPHROLOGIST",
"authorized_official_telephone_number": "573-334-9564",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frank.braxton@capenephrology.com",
"affiliation": "N",
"address_1": "1349 N Mount Auburn Rd",
"city": "Cape Girardeau",
"state": "MO",
"country_code": "US",
"postal_code": "637011727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frank.braxton@capenephrology.com",
"affiliation": "N",
"address_1": "1349 N Mount Auburn Rd",
"city": "Cape Girardeau",
"state": "MO",
"country_code": "US",
"postal_code": "637011727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frank.braxton@capenephrology.com",
"affiliation": "N",
"address_1": "1349 N Mount Auburn Rd",
"city": "Cape Girardeau",
"state": "MO",
"country_code": "US",
"postal_code": "637011727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.