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

Mr. Russell Kevin Broxson Jr., FNPBC

Individual provider Family Nurse Practitioner · NPI 1295587293

Mr. Russell Kevin Broxson Jr., FNPBC is a Nurse Practitioner in Jay, Florida. Qualified in 2022, 4 years ago. Practices with Jay Hospital Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2024

Practice location Address checks out

14114 Alabama St
Jay, FL 32565-1219
Phone: (850) 675-8000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11031992 (FL)

Record details

NPI number1295587293
Entity typeIndividual (Type 1)
GenderMale
Credentials FNPBC
Sole proprietorYes
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jay Hospital Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jay