Mr. Willes T Braxton
Military Health Care Provider in Buzzards Bay, Massachusetts
1710962642- Practice location
- 5201 Lee RD, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542-1313
- Phone
- 508-968-6578
- Fax
- —
- Last updated
- July 8, 2007
Willes Todd Braxton is a Military Health Care Provider based in Buzzards Bay, MA. Willes Todd Braxton practices in Buzzards Bay, MA. The NPI Number for Willes Todd Braxton is 1710962642 and holds a License No. B1673135 (CA). The current practice location address for Willes Todd Braxton is 5201 Lee RD, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542-1313 and can be reached out via phone at 508-968-6578.
Provider Profile Details
- NPI Number
- 1710962642
- Provider Name
- Willes Todd Braxton
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5201 Lee RD, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542-1313
- Phone Number
- 508-968-6578
- Primary Taxonomy
- Military Health Care Provider · 171000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2005
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5201 Lee RD
Kaehler Memorial Medical Clinic
Buzzards Bay, MA 02542-1313 - City
- Buzzards Bay
- State
- Massachusetts
- Zip
- 02542-1313
- Phone Number
- 508-968-6578
Provider Business Mailing Address Details
- Address
- Po Box 1766
Mashpee, MA 02649-1766 - City
- Mashpee
- State
- MA
- Zip
- 02649-1766
- Phone Number
- 508-564-4814
License Information
- License Number
- B1673135
- License State
- CA
- Taxonomy
- Military Health Care Provider · 171000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Willes T Braxton?
The NPI number of Mr. Willes T Braxton is 1710962642. It was assigned on December 14, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Willes T Braxton?
Mr. Willes T Braxton is registered under the primary taxonomy Military Health Care Provider (code 171000000X), licensed in CA under license number B1673135.
Where does Mr. Willes T Braxton practice?
The practice location is 5201 Lee RD, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542-1313. The office can be reached at 508-968-6578 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710962642 directly on the NPPES registry website.