BRALEY & THOMPSON (NPI# 1225364243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225364243 |
| Entity Type | Organization |
| Organization Name | BRALEY & THOMPSON |
| Practice Address |
2965 Colonnade Dr Suite 130 Roanoke VA 24018-3557 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8008660860 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1021-03-001 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609018654 | Braley & Thompson | Intermediate Care Facility, Mentally Retarded | 1 Dunbar Plz # 100, Dunbar, WV 25064-3038 | 2009-04-06 |
| 1760679021 | Braley & Thompson | Specialist | 1 Dunbar Plz, Suite 100, Dunbar, WV 25064-3038 | 2007-10-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRALEY & THOMPSON | 1 Dunbar Plz Ste 100, Dunbar, WV 25064-3038 |
| North Carolina Corporations | BRALEY & THOMPSON INC. | 101 N Tryon St, Suite 1900, Charlotte, NC 28246 |
| Virginia Business Entities | BRALEY & THOMPSON INC. | 805 N. Whittington Pkwy, Suite 400, Louisville, Kentucky 40222 |
| Street Address |
2965 COLONNADE DR SUITE 130 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174543714 | Michael Joseph Breiner | Plastic Surgery | 2965 Colonnade Dr, Suite 140, Roanoke, VA 24018-3557 | 2006-07-19 |
| 1487015210 | Nikol Stup | Counselor | 2965 Colonnade Dr, Suite 100, Roanoke, VA 24018-3557 | 2016-03-07 |
| 1225386683 | Laura A Morris | Counselor | 2965 Colonnade Dr, Roanoke, VA 24018-3557 | 2012-08-16 |
| 1942452339 | Lynda Beran Murray | Counselor | 2965 Colonnade Dr, Suite 100, Roanoke, VA 24018 | 2008-10-16 |
| 1255464954 | Pamela Gail Vickers | Psychologist | 2965 Colonnade Dr, Suite 130, Roanoke, VA 24018-3557 | 2007-03-13 |
| 1528191129 | Angela Wood Porter | Social Worker | 2965 Colonnade Dr, Suite 130, Roanoke, VA 24018-3557 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.