NPIMap

Individual provider Active NPI

Alfonso D Brochero, MD

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1306005665
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101245698 Issued in VA
Practice address
130 Church Ave SW
Roanoke, VA 24011-1906
Phone
(540) 769-3964
NPI assigned
Jun 3, 2008
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TMD005195 PA
Internal Medicine Physician 207R00000X 0101245698 VA Primary

Addresses

Primary practice location

130 Church Ave SW
Roanoke, VA 24011-1906

Mailing address

PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556

Other identifiers 1

IdentifierTypeStateIssuer
1306005665MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090821000551 VA Practitioner - Internal Medicine 6507910759 Reassigns benefits to 3 organizations
I20230417002448 NC Practitioner - Internal Medicine 6507910759 Reassigns benefits to 2 organizations
I20260622002301 TN Practitioner - Internal Medicine 6507910759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211

1987 Hilton Rd
Burlington, NC 27217-2968
Phone (540) 814-5344

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TMD005195PAMDInternal Medicine Physician
0101245698VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 2, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Nov 1, 2021 Accepting new patients
Pai Participant 29, P.C. CurrentSince Oct 22, 2023 Accepting new patients
Hampton SNF Operations LLC Past Accepting new patients
Long Term Care of America-Virginia, Inc. Past Accepting new patients
West Point SNF Operations LLC Past Accepting new patients
DRS Moore & Stockstill PC Past Accepting new patients
Alleghany Hospitalists LLC Internal Medicine Past Accepting new patients

Locations (25 of 30)

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

173 Brockman Park Dr
Amherst, VA 24521
Phone (434) 841-2004

235 Evergreen Ave
Appomattox, VA 24522
Phone (434) 352-7420

240 Riverside Dr
Bassett, VA 24055
Phone (276) 629-1772

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

3737 Catalpa Ave
Buena Vista, VA 24416
Phone (540) 261-7444

5539 Highway Forty Seven
Chase City, VA 23924
Phone (434) 372-4063

2400 McKinney Blvd
Colonial Beach, VA 22443
Phone (804) 224-2222

2344 Riverside Dr
Danville, VA 24540
Phone (434) 791-2884

450 Piney Forest Rd
Danville, VA 24540
Phone (434) 799-1565

5872 Hanks Ave
Dublin, VA 24084
Phone (540) 674-4192

595 Vaden Dr
Gretna, VA 24557
Phone (434) 656-1206

414 Algonquin Rd
Hampton, VA 23661
Phone (757) 503-9002

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816

1902 Grace St
Lynchburg, VA 24504
Phone (434) 200-5100

315 E Lee Hwy
New Market, VA 22844
Phone (540) 740-8041

2401 Lee Hwy N
Pulaski, VA 24301
Phone (540) 980-3111

700 Randolph St
Radford, VA 24141
Phone (540) 633-3708

324 King George Ave SW
Roanoke, VA 24016
Phone (540) 309-9895

3433 Springtree Dr NE
Roanoke, VA 24012
Phone (540) 981-2790

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chase City Health & Rehab CenterChase City, VA, CCN 495380 Skilled nursing facility Adp of the SNF Apr 10, 2026
Life Care Center of New MarketNew Market, VA, CCN 495139 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 21, 2021
Mar 17, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1306005665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CHURCH AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111906",
            "telephone_number": "540-769-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCHERO",
        "first_name": "ALFONSO",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "TMD005195",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306005665",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.