MR. BRAXTER P IRBY MD NPI 1801877139

NPI Information

  • NPI: 1801877139
  • Provider Name: MR. BRAXTER P IRBY, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 513C BROOKMAN DR
    BROOKHAVEN, MS
    ZIP 39601
  • Phone: (601) 833-3822

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NPI Details

MR. Braxter P Irby, MD is a nephrology internal medicine in Brookhaven, MS. 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. MR. Braxter P Irby, MD NPI is 1801877139. 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:

513C BROOKMAN DR
BROOKHAVEN, MS
ZIP 39601-326
Phone: (601) 833-3822
Fax: (601) 835-4330

The enumeration date for this NPI number is 11/14/2005 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
1207RN0300XInternal MedicineNephrology06205MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100115941MEDICAIDMISSISSIPPI
2B29993MEDICARE UPIN

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: 3/30/2025

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