Individual provider Active NPI

James McLeod Bracey, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1275804015
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003776 Issued in VA
Practice address
4606 Bromley LN
Richmond, VA 23226-1202
Phone
(817) 300-6744
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003776 VA Primary

Addresses

Primary practice location

4606 Bromley LN
Richmond, VA 23226-1202

Mailing address

5855 Bremo Rd Ste 310
Richmond, VA 23226-1923
Phone (817) 300-6744

Other identifiers 1

IdentifierTypeStateIssuer
1275804015MedicaidVA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000128 VA Practitioner - Physician Assistant 3375704828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. Physician Assistant CurrentSince Mar 9, 2018 Accepting new patients
Orthovirginia, Inc CurrentSince Mar 9, 2018 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1115 Boulders Pkwy
Ste 100
North Chesterfield, VA 23225
Phone (804) 320-1339

5855 Bremo Rd
Ste 310
Richmond, VA 23226

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

1501 Maple Ave
Ste 101A
Richmond, VA 23226
Phone 80428523001191

Organizations & group practices 5

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 6

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1275804015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD STE 310",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261923",
            "telephone_number": "817-300-6744",
            "fax_number": "804-281-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 BROMLEY LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261202",
            "telephone_number": "817-300-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACEY",
        "first_name": "JAMES",
        "middle_name": "MCLEOD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275804015",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.