WILLES T. BRAXTON – NPI #1710962642
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

WILLES BRAXTON is a military health care provider located in BUZZARDS BAY, MA. NPPES has assigned the NPI number 1710962642 to WILLES BRAXTON on December 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. See the complete NPI profile for WILLES BRAXTON below.

NPI Profile for
WILLES T. BRAXTON

NPI Number
1710962642
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLES T. BRAXTON
Primary location
5201 LEE RD
KAEHLER MEMORIAL MEDICAL CLINIC
BUZZARDS BAY, MA 02542-1313
Phone: (508) 968-6578 Fax:
Mailing address
PO BOX 1766
MASHPEE, MA 02649-1766
Phone: (508) 564-4814 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)
CA B1673135

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.