Active NPI
Jaime Bamford, MD
- Psychiatry Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101245611
- Practice address
- 2017 Jefferson St SW
Roanoke, VA 24014-2419 - Phone
- (540) 981-8025
- Fax
- (540) 853-0511
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101245611 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101245611 | VA | |
| Psychiatry Physician | 2084P0800X | 0101245611 | VA | Primary |
Addresses
Primary practice location
2017 Jefferson St SW
Roanoke, VA 24014-2419
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352
Other practice location 1
1409 Old Dominion Blvd
Bedford, VA 24523-3285
Phone (540) 586-7970 ext. 67970
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- George Washington University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients |
Locations
2215 Langhorne Rd
Ste 104
Lynchburg, VA 24501
Phone (434) 455-3045
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
Interoperability endpoints
- jbamford165196@direct.carilionclinic.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1487839882",
"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",
"telephone_number": "540-224-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 JEFFERSON ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142419",
"telephone_number": "540-981-8025",
"fax_number": "540-853-0511"
}
],
"practiceLocations": [
{
"address_1": "1409 Old Dominion Blvd",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "VA",
"postal_code": "245233285",
"country_code": "US",
"telephone_number": "540-586-7970 x67970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAMFORD",
"first_name": "JAIME",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101245611",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101245611",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101245611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.