Individual provider Active NPI

Bailee Alafair Brewster

  • Family Nurse Practitioner
  • Blacksburg, VA
National Provider Identifier
1104799329
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
D09250104 Issued in VA
Practice address
2617 Sheffield Dr
Blacksburg, VA 24060-8271
Phone
(540) 953-2210
NPI assigned
Sep 24, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X D09250104 VA Primary

Addresses

Primary practice location

2617 Sheffield Dr
Blacksburg, VA 24060-8271

Mailing address

2617 Sheffield Dr
Blacksburg, VA 24060-8271
Phone (540) 953-2210

Other practice location 1

1225 Maple Ave SW
Roanoke, VA 24016-4707
Phone (540) 953-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251121001194 VA Practitioner - Dermatology 6507358116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Dermatology PLCGroup PAC ID 7416936570, 8 clinicians

Practice addresses (Care Compare)

1225 Maple Ave SW
Roanoke, VA 24016-4707
Phone (540) 953-2210

2617 Sheffield Dr
Blacksburg, VA 24060-8271
Phone (540) 953-2210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D09250104VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New River Dermatology PLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

2617 Sheffield Dr
Blacksburg, VA 24060
Phone (540) 953-2210

306 W Main St
Radford, VA 24141
Phone (540) 953-2210

1225 Maple Ave SW
Roanoke, VA 24016
Phone (540) 345-2020

146 W Main St
Wytheville, VA 24382
Phone (540) 953-2210

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1104799329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SHEFFIELD DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608271",
            "telephone_number": "540-953-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SHEFFIELD DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608271",
            "telephone_number": "540-953-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Maple Ave SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164707",
            "country_code": "US",
            "telephone_number": "540-953-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "BAILEE",
        "middle_name": "ALAFAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "D09250104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.