Individual provider Active NPI

Jessica R Brawley, M.D.

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1871799361
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101256098 Issued in VA
Practice address
908 Eden Way N Ste 1
Chesapeake, VA 23320-3336
Phone
(757) 252-9800
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 0101256098 VA Primary

Addresses

Primary practice location

908 Eden Way N Ste 1
Chesapeake, VA 23320-3336

Mailing address

PO Box 11314
Belfast, ME 04915-4004
Phone (757) 842-4481

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709000645 VA Practitioner - Family Practice 9739304601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

300 Medical Pkwy
Chesapeake, VA 23320-4985

800 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-3085

844 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-6800

908 Eden Way N
Suite 101
Chesapeake, VA 23320-3336
Phone (757) 312-6267

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Chesapeake Regional Medical Group Family Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

908 Eden Way N
Ste 101
Chesapeake, VA 23320
Phone (757) 312-6267

800 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-3085

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

Interoperability endpoints

  • Direct secure messaging: jessica.brawley.1@5072.direct.athenahealth.com
  • Direct secure messaging: jessica.brawley.3@5072.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1871799361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11314",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154004",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 EDEN WAY N STE 1",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203336",
            "telephone_number": "757-252-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAWLEY",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101256098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.