NPIMap

Individual provider Active NPI

Emily Gatewood Buchanan Bralley, D.O.

  • Family Medicine Physician
  • Marion, VA
National Provider Identifier
1538428883
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203969 Issued in VA
Practice address
1616 N Main St
Suite C
Marion, VA 24354-4398
Phone
(276) 783-8123
Fax
(276) 783-1820
NPI assigned
May 8, 2012
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102203969 VA Primary

Addresses

Primary practice location

1616 N Main St
Suite C
Marion, VA 24354-4398

Mailing address

1616 N Main St Ste C
Marion, VA 24354-4474
Phone (276) 783-1827

Other identifiers 1

IdentifierTypeStateIssuer
30016024070001MedicaidVA

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
I20151021002084 VA Practitioner - Family Practice 4981852167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smyth County Family PhysiciansGroup PAC ID 0345605606, 5 clinicians

Practice addresses (Care Compare)

1616 N Main St
Suite C
Marion, VA 24354-4474
Phone (276) 783-8123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions133
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102203969VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oak Medical Associates PC Family Medicine CurrentSince Oct 10, 2015 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Royal Oak Medical Associates PC Family Medicine CurrentSince Oct 10, 2015 Accepting new patients
Smyth County Family Physicians Family Medicine CurrentSince Feb 15, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 15, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Apr 15, 2016 Accepting new patients

Locations

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

1616 N Main St
Ste C
Marion, VA 24354
Phone (276) 783-7167

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

Interoperability endpoints

  • Direct secure messaging: emilygbbralley@scfp.ssdirect.aprima.com

Organizations & group practices 6

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 10

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1538428883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST STE C",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544474",
            "telephone_number": "276-783-1827",
            "fax_number": "276-783-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST",
            "address_2": "SUITE C",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544398",
            "telephone_number": "276-783-8123",
            "fax_number": "276-783-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALLEY",
        "first_name": "EMILY",
        "middle_name": "GATEWOOD BUCHANAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016024070001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.