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BRAXTON EHNERT DO
NPI 1508569625
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since March 27, 2023PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Braxton Ehnert Do NPPES

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

BRAXTON EHNERT DO (NPI 1508569625) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1508569625
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAXTON EHNERTCredential: DO
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(888) 584-7888
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1508569625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036178800 (IL)
2160 S 1ST AVE, Maywood, IL 60153
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braxton Ehnert Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163884024
PECOS Enrollment IDI20260706000436
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Braxton Ehnert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cepamerica Illinois LLP
2.3 mi
Emergency Medicine
1225 W LAKE ST
Melrose Park, IL 60160
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1669758546 (708) 938-7190

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Braxton Ehnert's NPI number?

The NPI number for Braxton Ehnert is 1508569625. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Braxton Ehnert located?

Braxton Ehnert practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Braxton Ehnert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Braxton Ehnert enrolled in Medicare?

Yes. Braxton Ehnert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Braxton Ehnert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Braxton Ehnert reassigns Medicare benefits to Cepamerica Illinois LLP (Melrose Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Braxton Ehnert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Braxton Ehnert affiliated with any hospitals?

According to CMS data, Braxton Ehnert is affiliated with Alexian Brothers Medical Center 1.

When was this NPI record last updated?

The NPPES record for Braxton Ehnert was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.