Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS MARK BRAXTON JR., MD
ActiveDR. THOMAS MARK BRAXTON JR., MD is a Sports Medicine healthcare provider located in MAYFIELD, Kentucky. NPI 1578539672 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MAYFIELD, KY
Registration Details
- NPI Number
- 1578539672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2006 (20.430137057808 yrs)
- Last Updated
- Mar 7, 2015
- Licenses
-
00024642 (AL)43829 (KY)43065 (TN)43829 (KY)43065 (TN)
Practice Information
- Address
-
1111 MEDICAL CENTER CIRMAYFIELD, KY, 420661194Browse KY providers · Browse ZIP 42066
- Phone
- 2702514085
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.