Nephrology Associates, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY ASSOCIATES, PC

Practice address

2505 Three Rivers Blvd
Poplar Bluff, MO 63901-2352

Phone

(573) 727-9906

Fax

(573) 727-9335

NPI assigned

Nov 21, 2007

Organization subpart

Yes

Parent organization

NEPHROLOGY ASSOCIATES, PCAs reported in NPPES

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

Authorized official

Name

Dr. Frank W Braxton III, M.D.NPI 1639120389

Title

President/Physician

Phone

(573) 334-9564

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Nephrology Associates P3 organizations share this tax ID, including this one

Part of

Nephrology Associates P

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Renal Care Group of the Midwest, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cape Girardeau, MO
  • NPI 1992817894
  NPD tax ID
• Nephrology Associates, PC

  • Nephrology Physician
  • Blytheville, AR
  • NPI 1588845259
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank W Braxton, M.D.

  • Nephrology Physician
  • Cape Girardeau, MO
  • NPI 1639120389
  NPD (past) Authorized official
• Amy M Folsom, PA

  • Medical Physician Assistant
  • Sikeston, MO
  • NPI 1053400457
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1922289693",
    "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": "2505 THREE RIVERS BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012352",
            "telephone_number": "573-727-9906",
            "fax_number": "573-727-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEPHROLOGY ASSOCIATES, PC",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "573-334-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "H8238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "117672",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500867403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CI5170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan William Nauser, PHD
• Abdul Naeem Naushad, M.D.
• Addonya Nelson
• Jenesis Jadayah Nelson, LPN
• Lowerstine Nelson, M.S., BCBA-LBA
• Judith K Nettles, BA
• New Hope Assisted Living
• New Hope Medical Supply LLC
• Ashley Dawn Newcomb, PMHNP
• Kip Cardell Newell, D.O.

• Nephrology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.