Healthcare Provider Details

I. General information

NPI: 1598688137
Provider Name (Legal Business Name): ALIGN FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4521 BRAMBLETON AVE STE 205
ROANOKE VA
24018-3432
US

IV. Provider business mailing address

4521 BRAMBLETON AVE STE 205
ROANOKE VA
24018-3432
US

V. Phone/Fax

Practice location:
  • Phone: 540-315-4766
  • Fax: 540-315-4766
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMIE BRACKENRICH
Title or Position: OWNER
Credential: NP
Phone: 540-315-4766