T. Kevin Braswell, MD P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

T. KEVIN BRASWELL, MD P.A.

Practice address

990 Avent Dr
Grenada, MS 38901-5002

Phone

(662) 226-2030

Fax

(662) 227-1236

NPI assigned

Nov 26, 2007

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Laura Trusty

Title

Insurance Manager

Phone

(662) 226-2030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Kevin Braswell, MD

  • Ophthalmology Physician
  • Grenada, MS
  • NPI 1356307946
  Medicare reassignment
• Tara Leanne Dew, O.D.

  • Optometrist
  • Kosciusko, MS
  • NPI 1265622971
  Medicare reassignment

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1740461201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015002",
            "telephone_number": "662-226-2030",
            "fax_number": "662-227-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015002",
            "telephone_number": "662-226-2030",
            "fax_number": "662-227-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. KEVIN BRASWELL, MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "TRUSTY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "662-226-2030",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112536",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Kaye Stegall, N.P.
• Georgeanna Stokes
• Madison Bennett Stuckey
• Sunset Cardiovascular Services, LLC
• Mamie Swims, LCSW
• Tallahatchie General Hospital (Holcomb Clinic)
• Hubert D Taylor II, DO
• Jenny Taylor, FNP-BC
• Lowell Wayne Taylor, O.D.
• Walter T Taylor Jr., MD

• Ophthalmology Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.