BRAIN INJURY SERVICES OF SWVA – NPI #1649968223
Psychiatry & Neurology

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

BRAIN INJURY SERVICES OF SWVA is a psychiatry & neurologist located in ROANOKE, VA. NPPES has assigned the NPI number 1649968223 to BRAIN INJURY SERVICES OF SWVA on May 01, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0301X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Brain Injury Medicine

The NPI profile was previously updated about 3 years ago on Nov 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAIN INJURY SERVICES OF SWVA below.

NPI Profile for
BRAIN INJURY SERVICES OF SWVA

NPI Number
1649968223
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAIN INJURY SERVICES OF SWVA
Primary location
3904 FRANKLIN RD SW STE B
ROANOKE, VA 24014-3039
Phone: (540) 344-1200 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JODI JUDGE
EXECUTIVE DIRECTOR
Phone: (540) 344-1200
Updated
Certification Date
Aug 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0301X
- Psychiatry & Neurology / Brain Injury Medicine (Primary)
251B00000X
- Case Management

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.