NPIMap

Individual provider Active NPI

Brandon Edward Wooldridge, PA-C

  • Physician Assistant
  • Forest, VA
National Provider Identifier
1497441430
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009594 Issued in VA
Practice address
2103 Graves Mill Rd
Forest, VA 24551-2675
Phone
(434) 316-7199
Fax
(434) 316-6185
NPI assigned
Apr 13, 2023
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 0110009594 VA Primary

Addresses

Primary practice location

2103 Graves Mill Rd
Forest, VA 24551-2675

Mailing address

1193 Market Dr
Goode, VA 24556-2708
Phone (434) 401-2196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116003135 VA Practitioner - Physician Assistant 5991152621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Johnson Health CenterGroup PAC ID 9537060413, 39 clinicians
Access Healthcare Multi-Specialty Group PLLCGroup PAC ID 4789922790, 5 clinicians

Practice addresses (Care Compare)

109 Clearview Rd
Madison Heights, VA 24572-2600
Phone (434) 455-2480

2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199

582 Blue Ridge Ave
Bedford, VA 24523-2604
Phone (540) 425-7910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare Multi-Specialty Group, PLLC CurrentSince Oct 5, 2025 Accepting new patients
Access Healthcare Inc Current Accepting new patients
Johnson Health Center CurrentSince Apr 6, 2025 Accepting new patients
Johnson Health Center CurrentSince Apr 6, 2025 Accepting new patients

Locations

2103 Graves Mill Rd
Forest, VA 24551
Phone (434) 316-7190

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

134 Elon Rd
Madison Hts, VA 24572
Phone (434) 929-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18860/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1497441430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 MARKET DR",
            "city": "GOODE",
            "state": "VA",
            "postal_code": "245562708",
            "telephone_number": "434-401-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512675",
            "telephone_number": "434-316-7199",
            "fax_number": "434-316-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "BRANDON",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.