MR. JOHN S BRAXTON III P.A.
NPI 1902809734
Physician Assistant in Havre De Grace, MD
About Mr. John S Braxton Iii P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN S BRAXTON III P.A. (NPI 1902809734) is an individual physician assistant in Havre De Grace, Maryland, licensed in Maryland (C0000645) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John S Braxton Iii P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
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 John Braxton's NPI number?
The NPI number for John Braxton is 1902809734. It was assigned to this individual provider in the NPPES registry on May 24, 2005.
Where is John Braxton located?
John Braxton practices at 253 Lewis Ln Suite 202, Havre De Grace, MD 21078. The listed phone number is (443) 502-7060.
What is John Braxton's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Braxton enrolled in Medicare?
Yes. John Braxton is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Braxton was last updated on December 15, 2015. 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.
# Mr. John S Braxton III, P.A. · NPI 1902809734
Physician Assistant physician in Havre De Grace, Maryland. Individual provider, active in the CMS NPPES registry since May 24, 2005.
## Identity
- **NPI:** 1902809734 (Entity type: Individual)
- **Enumerated:** May 24, 2005
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** C0000645 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 253 LEWIS LN, SUITE 202, Havre De Grace, MD 21078-3750
- **Phone:** (443) 502-7060 · **Fax:** (410) 378-9922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 15, 2015
- **Other identifiers:** Medicare UPIN P01967 (MD); Medicare ID-Type Unspecified 852L125E (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1902809734) · Data from the CMS NPPES public registry.