Jerome E Rubbelke Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101280408 Issued in VA

Practice address

2252 Magnolia Ave
Buena Vista, VA 24416-3122

Phone

(540) 261-7421

Fax

(540) 261-1952

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carilion Rockbridge Community HospitalGroup PAC ID 4789658261, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1174636021
  Medicare reassignment Care Compare group NPD

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

• Carilion Rockbridge Community Hospital

  • Hospitalist Physician
  • Lexington, VA
  • NPI 1023663002
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Critical Access Hospital
  • Lexington, VA
  • NPI 1518950484
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1750936977

  Hospital

  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Emergency Medicine Physician
  • Lexington, VA
  • NPI 1942854427

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1164415113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 MAGNOLIA AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244163122",
            "telephone_number": "540-261-7421",
            "fax_number": "540-261-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4712 E Dynamite Blvd",
            "address_purpose": "LOCATION",
            "city": "Cave Creek",
            "state": "AZ",
            "postal_code": "853316243",
            "country_code": "US",
            "telephone_number": "480-342-8711",
            "fax_number": "480-342-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBBELKE",
        "first_name": "JEROME",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18138",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101280408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockbridge Area Free Clinic
• Rockbridge Area Free Clinic
• Rockbridge County Board of Supervisors
• Rockbridge County Board of Supervisors
• Rockbridge Midwifery Care, LLC
• Sara D. Ruhlman, PT
• Burke W. Soffe, DMD
• Southern Virginia University
• Southern Virginia University
• Synergy Rehab and Wellness, Buena Vista

• Family Medicine Physician in Buena Vista, VA
• Providers in Buena Vista, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.