Individual provider Active NPI

Frank W Braxton, M.D.

  • Nephrology Physician
  • Cape Girardeau, MO
National Provider Identifier
1639120389
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R9D58 Issued in MO
Practice address
1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone
(573) 334-9564
Fax
(573) 334-1879
NPI assigned
May 15, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD018849E PA
Nephrology Physician 207RN0300X 036-074275 IL
Nephrology Physician 207RN0300X D0021892 MD
Nephrology Physician 207RN0300X R9D58 MO Primary
Nephrology Physician 207RN0300X N-8307 AR

Addresses

Primary practice location

1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727

Mailing address

1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone (573) 334-9564

Other identifiers 9

IdentifierTypeStateIssuer
110164001MedicaidAR
110179816OtherRAIL ROAD MEDICARE
202071478MedicaidMO
096561OtherHEALTH ALLIANCE
209765221MedicaidMO
5J228OtherARBLUE CROSS BLUE SHIELD
1370190OtherCOVENTRY HEALTHCARE
149786OtherMOHEALTHLINK
4430OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100121000115 MO Practitioner - Nephrology 1850201195 Reassigns benefits to 1 organization
I20100921000144 AR Practitioner - Nephrology 1850201195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Temple University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone (573) 334-9564

1409 E Moultrie Dr
Blytheville, AR 72315-6855
Phone (870) 776-1464

150 S Farrar Dr
Fresenius Care
Cape Girardeau, MO 63701-4906
Phone (573) 332-0907

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-7831

1723 Broadway St
Suite 105
Cape Girardeau, MO 63701-4556
Phone (573) 334-7861

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

2311 Eugene Blvd
Nephrology Associates PC
Poplar Bluff, MO 63901-2397
Phone (573) 785-5000

3255 Independence St
Cape Girardeau, MO 63701-4914
Phone (573) 335-1091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N-8307ARMDNephrology Physician
036-074275ILMDNephrology Physician
D0021892MDMDNephrology Physician
MD018849EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westbrook Dialysis, LLC Current Accepting new patients
Nephrology Associates, PC Nephrology CurrentSince Mar 1, 2001 Accepting new patients
Nephrology Associates, PC Nephrology Past Accepting new patients

Locations

1409 E Moultrie Dr
Blytheville, AR 72315
Phone (870) 776-1464

1349 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 334-9564

Interoperability endpoints

  • Direct secure messaging: frank.braxton@capenephrology.directbygreenway.com

Organizations & group practices 4

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1639120389",
    "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": "1349 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-334-9564",
            "fax_number": "573-334-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "FRANK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD018849E",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-074275",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0021892",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R9D58",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "N-8307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110164001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110179816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202071478",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "096561",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209765221",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5J228",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "1370190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "149786",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4430",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.