Jennifer B Chen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

VA0101050709 Issued in VA

Practice address

1240 3Rd St SW
Bradley Free Clinic
Roanoke, VA 24016-4612

Phone

(540) 344-5156

NPI assigned

Nov 18, 2005

Last updated

May 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18289/brand/1/csg/1/fhir/r4

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.

• Bradley Free Clinic of Roanoke Valley

  dba Bradley Free Clinic

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1902157712
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1154303600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 3RD ST SW",
            "address_2": "BRADLEY FREE CLINIC",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 3RD ST SW",
            "address_2": "BRADLEY FREE CLINIC",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164612",
            "telephone_number": "540-344-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "VA0101050709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Chati
• Jeannie Chau
• Nalliene Chavez Rivera, MD
• Diane Chavira, M.ED., CCC/SLP
• Audrey Parker Chen, RN, CPNP-PC/AC
• Jiwei Chen, PA
• Micha Yin-Zheng Cheng, MD, MPH, MS
• Alexander Bryan Cheslock, MD
• Sandra Aherwa Chesoni, M.D., PHD
• Unknown Chesta, MD

• Internal Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.