Provider Type Icon

NEPHROLOGY ASSOCIATES PC NPI 1588845259


NPI Information

NPI: 1588845259
Provider Name: NEPHROLOGY ASSOCIATES, PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1409 E MOULTRIE DR
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 776-1464
Get Directions

NEPHROLOGY ASSOCIATES, PC is a nephrology internal medicine in Blytheville, AR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NEPHROLOGY ASSOCIATES, PC NPI is 1588845259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1409 E MOULTRIE DR
BLYTHEVILLE, AR
ZIP 72315-855
Phone: (870) 776-1464
Fax: (870) 776-1474

The provider's authorized official is Frank W Braxton .
The authorized official title is President/physician and has the following contact phone number (573) 334-9564.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C446OTHERARKANSASBLUE CROSS BLUE SHIELD
2CI5170OTHERRAIL ROAD MEDICARE
3117672OTHERMISSOURIBLUE CROSS BLUE SHIELD
45C446MEDICARE PINARKANSAS
5H8238OTHERHEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.