DEMETRIUS BRAXTON
NPI 1467800326
Specialist in Saint Louis, MO

Active since June 01, 2016
2612 WYOMING ST, SAINT LOUIS, MO 63118(314) 588-7111 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Demetrius Braxton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS BRAXTON (NPI 1467800326) is an individual specialist in Saint Louis, Missouri and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1467800326
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDEMETRIUS BRAXTON
Location Address2612 WYOMING STSaint Louis, MO 63118-2402
Mailing Address2612 Wyoming StSaint Louis, MO 63118-2402 · (314) 588-7111
Sole ProprietorNo
Enumeration DateJune 1, 2016
NPI 1467800326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2612 WYOMING ST, Saint Louis, MO 63118

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2612 WYOMING ST
SAINT LOUIS, MO 63118
Specialist
2612 WYOMING ST
SAINT LOUIS, MO 63118
Behavior Technician
2612 WYOMING ST
SAINT LOUIS, MO 63118
Specialist
2612 WYOMING ST
SAINT LOUIS, MO 63118
Specialist
2612 WYOMING ST
SAINT LOUIS, MO 63118
Community/Behavioral Health
2612 WYOMING ST
SAINT LOUIS, MO 63118
Specialist
2612 WYOMING ST
SAINT LOUIS, MO 63118
Specialist
2612 WYOMING ST
SAINT LOUIS, MO 63118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Braxton's NPI number?

The NPI number for Demetrius Braxton is 1467800326. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Demetrius Braxton located?

Demetrius Braxton practices at 2612 Wyoming St, Saint Louis, MO 63118. The listed phone number is (314) 588-7111.

What is Demetrius Braxton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Demetrius Braxton was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.