Individual provider Active NPI

Robert Braden Dunmire III, MD

  • Nephrology Physician
  • Roanoke, VA
National Provider Identifier
1003975285
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101281458 Issued in VA
Practice address
2030 Stephenson Ave SW
Roanoke, VA 24014-1664
Phone
(540) 904-6170
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101281458 VA Primary

Addresses

Primary practice location

2030 Stephenson Ave SW
Roanoke, VA 24014-1664

Mailing address

2030 Stephenson Ave SW
Roanoke, VA 24014-1664
Phone (540) 904-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100217000760 NC Practitioner - NephrologyPractitioner - Internal Medicine 6901875483 Reassigns benefits to 1 organization
I20250409002232 VA Practitioner - Nephrology 6901875483 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Miami, LM Miller School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Kingsford Physician Services LLCGroup PAC ID 0840541017, 15 clinicians
Wildwood Physician Services LLCGroup PAC ID 1850649310, 14 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101281458VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital Inc CurrentSince Oct 1, 1992 Accepting new patients
Wildwood Physician Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Aug 1, 2025 Accepting new patients
Fairlawn Surgery Center, LLC CurrentSince Sep 22, 2025 Accepting new patients
Physicians Care of Virginia PC Nephrology CurrentSince Jan 1, 2026 Accepting new patients
Blue Ridge Nephrology Associates PC CurrentSince Dec 23, 2024 Accepting new patients
Fairlawn Surgery Center LLC CurrentSince Sep 22, 2025 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Oct 1, 1992 Accepting new patients
Kingsford Physician Services, LLC CurrentSince May 20, 2025 Accepting new patients
Carolina Kidney and Vascular, PA Nephrology Past Accepting new patients

Locations

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

2900 Lamb Cir
Ste 190
Christiansburg, VA 24073
Phone (540) 633-3778

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2030 Stephenson Ave SW
Roanoke, VA 24014
Phone (540) 283-2708

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1003975285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 STEPHENSON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141664",
            "telephone_number": "540-904-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STEPHENSON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141664",
            "telephone_number": "540-904-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMIRE",
        "first_name": "ROBERT",
        "middle_name": "BRADEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101281458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.