Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jared Brackenrich, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518498039

Dr. Jared Brackenrich, DO is a Dermatology in Blacksburg, Virginia. Qualified in 2017, 9 years ago. Practices with Valley Skin Specialists, a 17-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3706 S Main St
Blacksburg, VA 24060-7006
Phone: (540) 951-3376
Fax: (540) 951-1276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0102206597 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518498039
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 26, 2017
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address3706 S Main St, Ste B, Blacksburg, VA 24060-7006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Valley Skin Specialists — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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