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

Wayne Lee Brackenrich, DO

Individual provider Family Medicine Physician · NPI 1447356530

Wayne Lee Brackenrich, DO is a Family Practice in Roanoke, Virginia. Graduated from West Virginia School of Osteopathic Medicine in 1980, 46 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
46
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
VA
In the registry since
2006
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

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone: (540) 265-5500
Fax: (540) 265-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102033442 (VA)

Record details

NPI number1447356530
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1980 (46 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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