Organization Active NPI

Align Neurology

  • Neurology Physician
  • Roanoke, VA
National Provider Identifier
1033940382
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ALIGN NEUROLOGY
Practice address
4521 Brambleton Ave Ste 205
Roanoke, VA 24018-3432
Phone
(540) 315-4766
Fax
(855) 592-1912
NPI assigned
Aug 9, 2024
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Jamie Brackenrich, NPNPI 1356953053
Title
Owner, Nurse Practitioner
Phone
(540) 315-4766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

4521 Brambleton Ave Ste 205
Roanoke, VA 24018-3432

Mailing address

4521 Brambleton Ave Ste 205
Roanoke, VA 24018-3432
Phone (540) 315-4766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250219002274 VA Part B Supplier - Clinic/Group Practice 0648790725 Receives reassigned benefits from 2 practitioners
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

306 McClanahan St SW
Ste C
Roanoke, VA 24014
Phone (540) 390-0088

1619 Stanaford Rd
Ste 232
Beckley, WV 25801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1033940382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 BRAMBLETON AVE STE 205",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183432",
            "telephone_number": "540-315-4766",
            "fax_number": "855-592-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 BRAMBLETON AVE STE 205",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183432",
            "telephone_number": "540-315-4766",
            "fax_number": "855-592-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BRACKENRICH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "540-315-4766",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.