Active NPI
Braxter P Irby Jr., MD
- Nephrology Physician
- Brookhaven, MS
National Provider Identifier
1801877139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 06205
- Practice address
- 513C Brookman Dr
Brookhaven, MS 39601-2326 - Phone
- (601) 833-3822
- Fax
- (601) 835-4330
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 06205 | MS | Primary |
Addresses
Primary practice location
513C Brookman Dr
Brookhaven, MS 39601-2326
Mailing address
513C Brookman Dr
Brookhaven, MS 39601-2326
Phone (601) 833-3822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115941 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0625 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801877139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513C BROOKMAN DR",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012326",
"telephone_number": "601-833-3822",
"fax_number": "601-835-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513C BROOKMAN DR",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012326",
"telephone_number": "601-833-3822",
"fax_number": "601-835-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRBY",
"first_name": "BRAXTER",
"middle_name": "P",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "06205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115941",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.