Search › Virginia › 207N00000X
Jared Brackenrich, D.O
NPI 1518498039 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3706 S Main St
Blacksburg, VA 24060 - Phone
- (540) 951-3376
- Fax
- (540) 951-1276
- Organisation at this address
- Valley Skin Specialists
Ethan B. Colliver D.O. Pllc
Ability Physical Medicine And Rehabilitation IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia