Organization Active NPI

Westbrook Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cape Girardeau, MO
National Provider Identifier
1336748110
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Frank W Braxton, MDNPI 1639120389
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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, LLCCCN 262702
Overall star rating
1.0 of 5
Ownership
Profit
Certified
May 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2244196Westbrook Dialysis140 West Drive, Cape Girardeau, MO 63703Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.