Braxton, Thomas Mark

Braxton, Thomas Mark is an individual health care provider with primary practice located at 1111 Medical Center Cir , Mayfield KY 42066-1194. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Braxton, Thomas Mark can be contacted via phone (270) 251-4085.

Contact Information

Primary practice address
1111 Medical Center Cir Mayfield KY 42066-1194
Phone: (270) 251-4085
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 00024642 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 43829 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43065 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43829 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43065 Tennessee

Profile Details

NPI number 1578539672
LBN Legal business name Braxton, Thomas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 7th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578539672 NPPES
Kentucky MEDICAID 7100157640

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