| Align Neurology | |
|
4521 Brambleton Ave Ste 205 Roanoke VA 24018-3432 | |
| (540) 315-4766 | |
| (855) 592-1912 |
| Full Name | Align Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4521 Brambleton Ave Ste 205, Roanoke, Virginia |
| Authorized Official Name and Position | Jamie Brackenrich (OWNER, NURSE PRACTITIONER) |
| Authorized Official Contact | 5403154766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Neurology 4521 Brambleton Ave Ste 205 Roanoke VA 24018-3432 Ph: (540) 315-4766 | Align Neurology 4521 Brambleton Ave Ste 205 Roanoke VA 24018-3432 Ph: (540) 315-4766 |
| NPI Number | 1033940382 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Medicare PECOS PAC ID | 0648790725 |
|---|---|
| Medicare Enrollment ID | O20250219002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033940382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jamie Leigh Brackenrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356953053 PECOS PAC ID: 9638581598 Enrollment ID: I20201217000635 |
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