Active NPI 1629097977 Individual Practitioner Male Practitioner

William J Brunelli , PA

Physician Assistant • Salem, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

William Brunelli, PA is a certified Physician Assistant practicing in Salem, VA. With approximately 25 years of clinical experience since completing medical education in 2001, William Brunelli delivers high-quality medical care to the local community at 1900 ELECTRIC RD.

William Brunelli is affiliated with Vista Radiology Consultants and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration of fluid from chest cavity using imaging guidance, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, ultrasonic guidance for blood vessel access. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Electric Rd

Salem, VA 241537474

Telephone 5407764055

Associated Practice Facility / Clinic

🏢 Valley Anesthesia Pc Facility NPI 1275587115

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +12.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

63 Specialists

Practicing in Salem, VA (4432 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brunelli (25 Years) 25 Yrs

Salem Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	119	59	$387.00	$89.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	63	60	$44.76	$10.41
76937 Ultrasonic guidance for blood vessel access	63	59	$53.33	$11.71
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	58	58	$113.00	$25.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	55	51	$61.20	$15.00
49083 Drainage of fluid from abdominal cavity using imaging guidance	43	25	$398.00	$86.35
62323 Injection of substance into lower spine canal using imaging guidance	35	32	$351.94	$82.70
76604 Ultrasound scan of chest	31	22	$91.00	$23.20
77002 Fluoroscopic guidance for needle placement	22	21	$89.59	$22.72
10005 Fine needle aspiration of first lesion using ultrasound guidance	21	21	$263.00	$61.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1142.00	$276.20
20610 Aspiration and/or injection of fluid from large joint	19	17	$157.00	$35.78
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	17	15	$277.00	$70.00
32557 Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin	17	15	$485.00	$116.74
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	17	17	$306.00	$69.88
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	15	$1033.63	$215.81
32408 Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin	16	16	$500.00	$126.61
20206 Needle biopsy of muscle, accessed through the skin	14	13	$203.00	$44.46
47000 Needle biopsy of liver through skin	14	14	$319.00	$68.08
36410 Insertion of needle into vein, patient 3 years or older	14	14	$32.21	$7.37
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$401.00	$65.86
38505 Needle biopsy or removal of surface lymph nodes	12	12	$241.00	$65.90
77003 Fluoroscopic guidance for spine or back muscle injection	12	12	$96.00	$24.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	87	65	$387.00	$92.68
76937 Ultrasonic guidance for blood vessel access	79	75	$52.00	$11.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	65	63	$113.00	$26.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	64	64	$62.00	$15.56
62323 Injection of substance into lower spine canal using imaging guidance	60	53	$347.00	$83.40
49083 Drainage of fluid from abdominal cavity using imaging guidance	55	30	$398.00	$89.69
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	52	51	$42.00	$10.48
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	42	40	$306.00	$70.82
77002 Fluoroscopic guidance for needle placement	37	33	$91.00	$23.14
20610 Aspiration and/or injection of fluid from large joint	34	28	$157.00	$36.06
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	29	29	$1142.00	$281.05
36410 Insertion of needle into vein, patient 3 years or older	28	24	$32.00	$7.11
76604 Ultrasound scan of chest	26	25	$91.00	$23.52
10005 Fine needle aspiration of first lesion using ultrasound guidance	25	24	$263.00	$61.41
47000 Needle biopsy of liver through skin	22	21	$319.00	$71.98
77012 Review by radiologist of ct guidance for needle placement	20	20	$193.00	$59.90
76705 Limited ultrasound scan of abdomen	20	13	$100.00	$24.20
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	20	19	$277.00	$74.16
32408 Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin	17	17	$500.00	$128.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	16	15	$214.00	$48.62
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	15	$942.00	$219.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	130	122	$52.00	$11.94
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	93	87	$42.00	$10.74
62323 Injection of substance into lower spine canal using imaging guidance	84	75	$347.00	$86.09
32555 Aspiration of fluid from chest cavity using imaging guidance	79	62	$387.00	$95.03
36410 Insertion of needle into vein, patient 3 years or older	78	76	$32.00	$7.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	73	66	$62.00	$16.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	63	62	$113.00	$26.88
77002 Fluoroscopic guidance for needle placement	53	45	$91.00	$23.85
20610 Aspiration and/or injection of fluid from large joint	51	42	$157.00	$37.81
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	41	39	$306.00	$72.87
49083 Drainage of fluid from abdominal cavity using imaging guidance	38	18	$398.00	$89.44
10005 Fine needle aspiration of first lesion using ultrasound guidance	33	32	$263.00	$62.82
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	30	30	$1142.00	$290.14
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	30	26	$220.00	$72.42
77012 Review by radiologist of ct guidance for needle placement	24	24	$193.00	$62.13
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	23	22	$277.00	$76.70
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	23	22	$942.00	$224.80
47000 Needle biopsy of liver through skin	19	19	$319.00	$76.26
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	18	$214.00	$52.32
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	18	16	$342.00	$96.85
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$401.00	$73.17
77003 Fluoroscopic guidance for spine or back muscle injection	13	12	$96.00	$25.38
62284 Injection of contrast for imaging of lower spinal canal	13	12	$282.00	$73.85
32408 Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin	13	13	$500.00	$132.42
38222 Biopsy and aspiration of bone marrow sample for diagnosis	13	13	$239.00	$66.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	213	186	$52.00	$12.60
62323 Injection of substance into lower spine canal using imaging guidance	150	113	$347.00	$87.76
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	138	122	$62.00	$16.25
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	119	112	$42.00	$10.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	112	105	$113.00	$27.65
32555 Aspiration of fluid from chest cavity using imaging guidance	111	76	$387.00	$98.40
36410 Insertion of needle into vein, patient 3 years or older	102	99	$32.00	$7.50
77002 Fluoroscopic guidance for needle placement	73	62	$91.00	$24.28
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	73	67	$306.00	$74.88
20610 Aspiration and/or injection of fluid from large joint	68	52	$159.31	$37.98
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	56	56	$1142.00	$297.45
49083 Drainage of fluid from abdominal cavity using imaging guidance	47	29	$398.00	$91.57
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	46	41	$942.00	$228.87
10005 Fine needle aspiration of first lesion using ultrasound guidance	45	45	$263.00	$62.82
47000 Needle biopsy of liver through skin	35	35	$319.00	$75.20
77012 Review by radiologist of ct guidance for needle placement	33	32	$193.00	$64.43
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	24	22	$277.00	$74.45
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	22	17	$220.00	$73.22
77003 Fluoroscopic guidance for spine or back muscle injection	22	20	$96.00	$25.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	19	$214.00	$50.28
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	21	18	$342.00	$98.58
62284 Injection of contrast for imaging of lower spinal canal	20	18	$282.00	$73.69
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	19	$401.00	$75.19
76604 Ultrasound scan of chest	16	15	$91.00	$25.02
36589 Removal of central venous catheter for infusion	15	14	$472.00	$116.05
38505 Needle biopsy or removal of surface lymph nodes	14	14	$241.00	$61.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$77.00	$22.34
10160 Aspiration of abscess, blood accumulation, blister, or cyst	14	14	$290.00	$82.87
20206 Needle biopsy of muscle, accessed through the skin	13	13	$203.00	$51.10
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	13	11	$179.00	$43.57
36590 Removal of peripheral venous catheter for infusion	13	13	$642.00	$162.04
32405 Needle biopsy of lung or chest tissue, accessed through the skin	12	12	$323.00	$79.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	226	184	$52.00	$12.38
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	166	158	$42.00	$10.23
62323 Injection of substance into lower spine canal using imaging guidance	164	124	$347.00	$85.41
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	157	142	$62.00	$16.00
32555 Aspiration of fluid from chest cavity using imaging guidance	119	88	$387.00	$96.80
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	115	111	$306.00	$73.85
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	89	87	$113.00	$27.22
36410 Insertion of needle into vein, patient 3 years or older	78	62	$32.00	$7.15
77002 Fluoroscopic guidance for needle placement	73	64	$91.00	$23.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	71	71	$1142.00	$292.26
20610 Aspiration and/or injection of fluid from large joint	69	60	$159.28	$38.82
49083 Drainage of fluid from abdominal cavity using imaging guidance	59	35	$398.00	$91.40
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	58	53	$942.00	$220.11
10005 Fine needle aspiration of first lesion using ultrasound guidance	56	52	$263.00	$63.33
77003 Fluoroscopic guidance for spine or back muscle injection	51	50	$96.00	$25.98
77012 Review by radiologist of ct guidance for needle placement	44	44	$193.00	$63.47
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	37	33	$220.00	$71.82
62270 Spinal tap for diagnosis	34	33	$212.00	$67.11
47000 Needle biopsy of liver through skin	29	29	$319.00	$72.45
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	29	23	$214.00	$50.86
32405 Needle biopsy of lung or chest tissue, accessed through the skin	28	28	$323.00	$78.70
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	22	$401.00	$73.85
76604 Ultrasound scan of chest	20	18	$91.00	$23.15
10160 Aspiration of abscess, blood accumulation, blister, or cyst	19	17	$290.00	$68.93
32550 Insertion of indwelling tube for drainage of lung fluid	17	16	$718.00	$179.42
36589 Removal of central venous catheter for infusion	17	16	$472.00	$106.47
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	17	13	$342.00	$96.21
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	16	12	$179.00	$43.13
62284 Injection of contrast for imaging of lower spinal canal	16	16	$282.00	$76.39
75989 Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure	16	15	$199.00	$49.85
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	14	11	$319.00	$80.56
36590 Removal of peripheral venous catheter for infusion	14	14	$642.00	$147.20
76705 Limited ultrasound scan of abdomen	14	13	$100.00	$25.00
32557 Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin	12	11	$485.00	$132.53
20206 Needle biopsy of muscle, accessed through the skin	11	11	$203.00	$48.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	291	260	$52.00	$12.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	249	224	$62.00	$15.82
36569 Insertion of central venous catheter for infusion, patient 5 years or older	167	152	$303.00	$71.91
62323 Injection of substance into lower spine canal using imaging guidance	164	131	$347.00	$85.04
32555 Aspiration of fluid from chest cavity using imaging guidance	137	83	$387.00	$95.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	134	127	$113.00	$27.52
49083 Drainage of fluid from abdominal cavity using imaging guidance	117	44	$398.00	$91.75
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	96	89	$42.00	$10.48
77002 Fluoroscopic guidance for needle placement	91	82	$91.00	$23.90
20610 Aspiration and/or injection of fluid from large joint	75	64	$157.00	$38.79
10022 Fine needle aspiration using imaging guidance	66	53	$212.00	$56.04
77003 Fluoroscopic guidance for spine or back muscle injection	47	46	$96.00	$25.43
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	44	43	$942.00	$225.59
36410 Insertion of needle into vein, patient 3 years or older	40	38	$32.00	$7.75
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	39	30	$220.00	$70.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	35	35	$1142.00	$290.18
77012 Review by radiologist of ct guidance for needle placement	31	31	$193.00	$48.71
47000 Needle biopsy of liver through skin	30	29	$319.00	$74.11
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	23	$214.00	$49.88
62284 Injection of contrast for imaging of lower spinal canal	26	26	$282.00	$75.39
76604 Ultrasound scan of chest	22	21	$91.00	$22.82
62270 Spinal tap for diagnosis	20	19	$212.00	$67.00
32405 Needle biopsy of lung or chest tissue, accessed through the skin	19	19	$323.00	$74.03
10160 Aspiration of abscess, blood accumulation, blister, or cyst	17	16	$290.00	$81.26
20206 Needle biopsy of muscle, accessed through the skin	14	14	$203.00	$48.91
76705 Limited ultrasound scan of abdomen	13	12	$100.00	$24.93
32557 Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin	11	11	$485.00	$131.04
36590 Removal of peripheral venous catheter for infusion	11	11	$642.00	$156.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	235	218	$52.00	$12.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	219	198	$62.00	$16.03
36569 Insertion of central venous catheter for infusion, patient 5 years or older	147	143	$303.00	$77.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	146	137	$113.00	$27.09
62323 Injection of substance into lower spine canal using imaging guidance	135	105	$347.00	$85.60
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	98	88	$42.00	$10.39
49083 Drainage of fluid from abdominal cavity using imaging guidance	92	42	$398.00	$92.41
32555 Aspiration of fluid from chest cavity using imaging guidance	89	50	$387.00	$95.90
10022 Fine needle aspiration using imaging guidance	73	68	$212.00	$55.21
77003 Fluoroscopic guidance for spine or back muscle injection	68	68	$96.00	$25.29
77002 Fluoroscopic guidance for needle placement	58	51	$91.00	$23.78
20610 Aspiration and/or injection of fluid from large joint	53	43	$157.00	$37.47
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	50	50	$1142.00	$290.32
77012 Review by radiologist of ct guidance for needle placement	49	49	$193.00	$47.48
62284 Injection of contrast for imaging of lower spinal canal	47	47	$282.00	$74.81
32405 Needle biopsy of lung or chest tissue, accessed through the skin	32	32	$323.00	$78.28
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	25	25	$942.00	$224.35
47000 Needle biopsy of liver through skin	24	24	$319.00	$75.76
62270 Spinal tap for diagnosis	22	21	$212.00	$66.46
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	17	$214.00	$50.95
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	18	16	$220.00	$71.26
32550 Insertion of indwelling tube for drainage of lung fluid	16	15	$718.00	$178.58
76604 Ultrasound scan of chest	16	15	$91.00	$22.77
75989 Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure	16	14	$199.00	$49.37
36590 Removal of peripheral venous catheter for infusion	14	14	$642.00	$157.30
10160 Aspiration of abscess, blood accumulation, blister, or cyst	11	11	$290.00	$81.00

Medical Specialties & State Licenses

CMS Verified: 2023-10-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110001437

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008948623 (VA)

Hospital & Practice Group Affiliations

Vista Radiology Consultants

1900 Electric Rd, Salem, VA 241537474

Phone: 8132103319

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Ronald Broadwell , MD

Radiology - Diagnostic Radiology

NPI 1154363588

Doctor of Medicine (M.D.)

Dr. Matthew Parry , MD

Radiology - Neuroradiology

NPI 1396044996

Doctor of Medicine (M.D.)

Dr. Christin Martino , MD

Radiology - Diagnostic Radiology

NPI 1588982227

Doctor of Medicine (M.D.)

Dr. Abram Patterson , MD

Radiology - Diagnostic Radiology

NPI 1669416087

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2023

Physician Assistant (License #0110001437 in VA)

✅

NPI Profile Active January 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2009

Registered at 1900 ELECTRIC RD, SALEM, VA 241537474 (Tel: 5407764055)

📍

Updated Business Mailing Address January 26, 2009

Registered at PO BOX 12668, ROANOKE, VA 240272668 (Tel: 5409817553)

👤

Provider Name / Credentials Updated January 26, 2009

Recorded as WILLIAM BRUNELLI, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2009

Radiology (License #0110001437 in VA)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for William Brunelli. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629097977

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2006

Last Update: October 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 12668

Roanoke, VA 240272668

Phone: 5409817553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.