Brain Injury Services of Swva

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X

Legal business name

BRAIN INJURY SERVICES OF SWVA

Practice address

3904 Franklin Rd SW Ste B
Roanoke, VA 24014-3039

Phone

(540) 344-1200

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Jodi Judge

Title

Executive Director

Phone

(540) 344-1200

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1649968223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 FRANKLIN RD SW STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143039",
            "telephone_number": "540-344-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 FRANKLIN RD SW STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143039",
            "telephone_number": "540-344-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN INJURY SERVICES OF SWVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-11-06",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-344-1200"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick D Bradley, MD
• Vakisha Bradley
• Don I Brady, MD
• Ida Braford
• Brain Injury Resource & Development Center, Inc.
• David R Brajdic, DMD
• Tracy Brakas, LCSW
• Braley & Thompson
• Brambleton Assessment and Counseling Center
• Amy R Bramblett-Robinson, P.A.-C.

• Brain Injury Medicine (Psychiatry & Neurology) Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Brain Injury Medicine (Psychiatry & Neurology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.