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MR. WILLES TODD BRAXTON
NPI 1710962642
Military Health Care Provider in Buzzards Bay, MA

Active since December 14, 2005
5201 LEE RD, KAEHLER MEMORIAL MEDICAL CLINIC, BUZZARDS BAY, MA 02542(508) 968-6578 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Willes Todd Braxton NPPES

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

MR. WILLES TODD BRAXTON (NPI 1710962642) is an individual military health care provider provider in Buzzards Bay, Massachusetts, licensed in California (B1673135) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1710962642
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameMR. WILLES TODD BRAXTON
Location Address5201 LEE RD, KAEHLER MEMORIAL MEDICAL CLINICBuzzards Bay, MA 02542-1313
Mailing AddressPo Box 1766Mashpee, MA 02649-1766 · (508) 564-4814
Phone(508) 968-6578
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710962642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in CA · B1673135
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
5201 LEE RD, Buzzards Bay, MA 02542
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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.

MR. RYAN MICHAEL WALLACE HEALTH SERVICES TECH
Emergency Medical Technician, Basic
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (508) 968-6572
UNITED STATED COAST GUARD
Clinic/Center
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (508) 968-6703
MICHELLE DANIELA FEIST IDC
Technician, Other
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (501) 968-6582
US COAST GUARD
Clinic/Center (Military/U.S. Coast Guard Outpatient)
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (508) 968-6704
MRS. CHRISTINA MARIE DUFFY
Military Health Care Provider
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (508) 968-6702
MS. LESLIE MARIE URENA HEALTH SERVICES TECH
Technician, Other
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (508) 968-6582
MARCOS JOHN HOLLAND EMT-B
Emergency Medical Technician, Basic
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (206) 815-7461
JONATHAN EVERETT FIELD
Military Health Care Provider (Independent Duty Corpsman)
5201 LEE RD
BUZZARDS BAY, MA 02542
Barnstable County (508) 968-6582

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 Willes Braxton's NPI number?

The NPI number for Willes Braxton is 1710962642. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Willes Braxton located?

Willes Braxton practices at 5201 Lee Rd Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542. The listed phone number is (508) 968-6578.

What is Willes Braxton's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Willes Braxton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.