Mark T Braxton, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN09406 Issued in FL

Practice address

5075 Carpenter Creek Dr
Pensacola, FL 32503-2521

Phone

(850) 477-8482

Fax

(850) 477-7604

NPI assigned

Feb 8, 2007

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rawson & Braxton Oral and Maxillofacial Surgery Associates of West FL

  • Oral and Maxillofacial Surgery (Dentist)
  • Pensacola, FL
  • NPI 1265754824
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1780725317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 CARPENTER CREEK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032521",
            "telephone_number": "850-477-8482",
            "fax_number": "850-477-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 CARPENTER CREEK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032521",
            "telephone_number": "850-477-8482",
            "fax_number": "850-477-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN09406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Brantley
• Lisa Lenore Branton, OT
• Leah J. Brasher, CRNA
• Debra Denise Braswell, LMHC
• Mary Louise Brawn, D.O.
• Sadie Elizabeth Braxton, CRNA
• Angela B Bray, PA-C
• John M Bray, M.D.
• Scot Allen Brazell, CRNA
• Breathe Free Sinus & Allergy Centers of Florida LLC

• Oral and Maxillofacial Surgery (Dentist) in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.