Brooke Arledge Bostic, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101049508 Issued in VA

Practice address

140 Stoneridge Dr S Ste 100
Ruckersville, VA 22968-3096

Phone

(434) 654-1850

Fax

(844) 328-7646

NPI assigned

Jun 12, 2006

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Hospice Hospice, Charlottesville, VA, CCN 491579
• Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbostic246312@direct.sentara.net

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Medi Home Health Agency, Inc

  dba Medi Home Hospice

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1962454769

  Contracted Managing Employee

  CMS ownership

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.

• Martha Jefferson Medical Group LLC

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1275720559
  Medicare reassignment Care Compare group NPD
• Martha Jefferson Hospital

  dba Sentara Endoscopy Center

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)
• Piedmont Emergency Consultants, PLC

  • Emergency Medicine Physician
  • Charlottesville, VA
  • NPI 1629022652
  NPD (past)
• Skyline Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Culpeper, VA
  • NPI 1669428033
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martha Jefferson Hospital

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1346248663
  Care Compare affiliation
• Medi Home Health Agency, Inc

  dba Medi Home Hospice

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1962454769
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1730121823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR S STE 100",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683096",
            "telephone_number": "434-654-1850",
            "fax_number": "844-328-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR S STE 100",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683096",
            "telephone_number": "434-654-1850",
            "fax_number": "844-328-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "BROOKE",
        "middle_name": "ARLEDGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Artale, PHARMD
• Brandi Arthur, LDO
• Tiffani Ashland, LCSW
• Katie Bell, LPC
• Cranston Christopher Blakey, TM
• Brian P Bouton, M.D.
• Nathan Edward Braginetz, PHARMD
• Laurie Ann Breeding, OT
• Kristin Bryant, OTR
• Camden Brown D.M.D., M.S., P.C. (Camden Brown Orthodontics)

• Family Medicine Physician in Ruckersville, VA
• Providers in Ruckersville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.