MR. WILLES TODD BRAXTON NPI 1710962642

NPI Information

  • NPI: 1710962642
  • Provider Name: MR. WILLES TODD BRAXTON
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 5201 LEE RD
    KAEHLER MEMORIAL MEDICAL CLINIC
    BUZZARDS BAY, MA
    ZIP 02542
  • Phone: (508) 968-6578

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NPI Details

MR. Willes Todd Braxton is a military health care provider in Buzzards Bay, MA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Willes Todd Braxton NPI is 1710962642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5201 LEE RD
KAEHLER MEMORIAL MEDICAL CLINIC
BUZZARDS BAY, MA
ZIP 02542-313
Phone: (508) 968-6578

The enumeration date for this NPI number is 12/14/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care ProviderB1673135CALIFORNIAYes

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: 11/21/2025

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