Mr Russell Kevin Broxson Jr, FNP BC is a
Nurse Practitioner - Family based in Jay, Florida. Mr Russell Kevin Broxson Jr is licensed to practice in Florida (license number 11031992) and his current practice location is
14114 Alabama St, Jay, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 675-8000.
NPI number for Mr Russell Kevin Broxson Jr is 1295587293 and his current mailing address is 5228 Medicine Bow St, Milton, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295587293.
Provider's Profile
Full Name | Mr Russell Kevin Broxson Jr |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 14114 Alabama St, Jay, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295587293
- Provider Enumeration Date: 04/03/2024
- Last Update Date: 04/16/2024
Medical Identifiers
Medical identifiers for Mr Russell Kevin Broxson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295587293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 11031992 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Russell Kevin Broxson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Russell Kevin Broxson Jr, FNP BC 5228 Medicine Bow St, Milton, FL 32570-8149 Ph: (850) 449-4801 | Mr Russell Kevin Broxson Jr, FNP BC 14114 Alabama St, Jay, FL 32565-1219 Ph: (850) 675-8000 |
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