Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Daniel Brannen, PA-C

Individual provider Physician Assistant · NPI 1629315460

Jacob Daniel Brannen, PA-C is a Physician Assistant in Roanoke, Virginia. Qualified in 2012, 14 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3707 Brambleton Ave Ste 2
Roanoke, VA 24018
Phone: (540) 725-7800
Fax: (540) 989-6752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004124 (VA)

Record details

NPI number1629315460
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2013
Last updated in NPPESAugust 1, 2018
Mailing address3707 Brambleton Ave Ste 2, Roanoke, VA 24018-3658

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Roanoke