Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED BRACKENRICH, D.O.
Active Sole ProprietorDR. JARED BRACKENRICH, D.O. is a Dermatology healthcare provider located in BLACKSBURG, Virginia. NPI 1518498039 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BLACKSBURG, VA
Registration Details
- NPI Number
- 1518498039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2017 (9.4039593827547 yrs)
- Last Updated
- Aug 18, 2021
- License
-
0102206597 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3706 S MAIN STBLACKSBURG, VA, 240607006Browse VA providers · Browse ZIP 24060
- Phone
- 5409513376
- Fax
- 5409511276
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in BLACKSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DANIEL STEVEN HURD | DO | 1841290897 |
| DR. CHAD JAMISON JOHNSTON | D.O. | 1962441212 |
| ALEKSANDRA G BROWN | D.O. | 1679801500 |
| CRAIG JAMES GAROFOLA | D.O. | 1861856056 |
| LUKE GODWIN | DO | 1154958031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.