Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braxton S Childers, PA

Individual provider Physician Assistant · NPI 1043791668

Braxton S Childers, PA is a Physician Assistant in Newark, Delaware. Qualified in 2018, 8 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
8
Licensed in
DE
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4102 Ogletown Stanton Rd Ste B
Newark, DE 19713-4183
Phone: (302) 731-2888
Fax: (302) 731-7049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (DE)

Record details

NPI number1043791668
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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