Our Providers

Family Medicine Physicians


Tracy Buni, MD  •  Medical Director

As Blue Ridge Medical Center’s Medical Director, Dr. Tracy Buni sets the clinical direction for all of BRMC, however patient care is her passion and still where she spends most of her time. Dr. Buni received both her Bachelor’s of Arts and her Medical Doctorate degrees from the University of Virginia (UVA). Her residency was completed in 1997 at the UVA Department of Family Medicine, and Dr. Buni immediately came to work at BRMC. In addition to her work at BRMC and for our patients, Dr. Buni works tirelessly to improve all Community Health Centers in Virginia through her work with the Virginia Community Healthcare Association and the Community Care Network of Virginia. Passionate about making the patient experience at BRMC the best it can be, Dr. Buni heads and/or participates in many staff committees at BRMC committed to improving patient care and experience.


Benjamin Brown, MD

Dr. Brown is one of our most in-demand physicians. He was born in California but came to Virginia at the age of 6. We’re proud and happy that he calls Nelson County home.  Dr. Brown has been at Blue Ridge Medical Center for over 17 years. Originally he practiced here from 1986-1993, and then returned in 2000. He received his Bachelor’s of Science in physics and pre-med with honors from the University of Massachusetts at Amherst and his Medical Doctorate from University of Virginia. Dr. Brown did his residency at Lynchburg Family Practice Residency Program and has additional training in acupuncture from the New England School of Acupuncture and from UCLA.  In addition to Nelson County, Dr. Brown has practiced medicine in western Massachusetts and in Farmville, Esmont, and Lynchburg, Virginia.


Emily Edwards, DO

Dr. Edwards, a graduate of Bridgewater College, was a member of the inaugural class of the Edward Via Virginia College of Osteopathic Medicine in Blacksburg and completed her residency at Carillion Clinic in Roanoke.  As a Doctor of Osteopathy, Dr. Edwards utilizes many of the same diagnostic methods as an MD, but also focuses on the musculoskeletal system—the bones, muscles, ligaments and tendons.  She uses many of the same types of treatments as our other physicians to manage disease or symptoms, but also uses a form of therapy called osteopathic manipulative treatment for a range of conditions.  In addition to her skills, her volunteerism and mission-minded approach to life attracted us to Dr. Edwards.  She and her family reside in Nelson County.

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Pediatric Physicians


Gerald W. DeWitt, MD, FAAP

Dr. DeWitt has the distinction of being the first pediatrician at Blue Ridge Medical Center and to Nelson County. He received his undergraduate degree from the University of Virginia and medical degree from the UVA School of Medicine. He was an intern and a resident at the University of Virginia Medical Center.  Dr. DeWitt practiced for many years at Pediatric Associates of Williamsburg before moving to Nelson County. He has had numerous academic appointments and has been appointed to many prestigious local, regional and state-wide committees. Dr. DeWitt brings to Nelson County a strong commitment to treating children with ADHD and to preventing childhood obesity.


Annamma (Liji) Daniel, MD, FAAP

Dr. Daniel is a Summa Cum Laude graduate of the Sophie Davis School of Biomedical Education at City University of New York Medical School in New York City. She received her MD from SUNY-Stony Brook School of Medicine in 2002 and in 2005 completed her pediatric residency at University Hospital at Stony Brook, Stony Brook, NY. She practiced at the Pediatric Center of Frederick, Frederick, MD in 2005/06. Dr. Daniel joined Syracuse Community Health Center in 2009 where she served as Medical Lead Provider for School Based Health Care. In 2011 she also assumed the responsibility of Lead Provider in Pediatrics at Syracuse. Dr. Daniel and her husband recently moved to Charlottesville.

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Family Practice & Pediatric Nurse Practitioners


Lois Alderfer, FNP

Lois Alderfer received her bachelor’s degree in nursing from Eastern Mennonite University in Harrisonburg in 1986. She received a Master of Science in nursing from the University of Virginia in 1990 and her Family Nurse Practitioner, also from UVA, in 1991. Her initial Family Nurse Practitioner credentialing from the American Nurses Credentialing Center was done in 1992. Ms. Alderfer worked for two years at King’s Daughter’s Hospital in Staunton, Virginia from 1987 through 1990. She started at Blue Ridge Medical Center in 1991, and has since been a vital part of the medical care provider team. Although she can treat everyone, Ms. Alderfer sees the majority of our pre-natal and OB-GYN patients. A Nelson County resident, she is active in her community and cares deeply for her patients.


Steve Alderfer, FNP

Steve Alderfer joined the medical team at Blue Ridge Medical Center in 2001. He brought with him a wealth of experience gained at Carillion Family Medicine-Associated Physicians (1997-2001) in Waynesboro and Augusta Medical Center’s Emergency Department (1989-1999). Mr. Alderfer was also an instructor in nursing at Eastern Mennonite University for four years. He earned his Bachelor’s of Science in nursing from Eastern Mennonite in 1986 and his Master’s of Science in nursing from the University of Virginia in 1990, and worked as a nurse at various facilities from 1987 until he received his Nurse Practitioner certification from UVA in 1987. Mr. Alderfer provides chronic care to many of our patients. He is very involved with our Relay for Life team and is a member of many community groups.


Debra Brunk, FNP

Ms. Brunk is a Cum Laude graduate of Kent State University (BSN) and she received her Masters as a Family Nurse Practitioner from the Univ. of Illinois at Chicago. In Illinois she worked as a staff nurse and nursing supervisor from 1985-1999, then as an FNP from 2002-2012 when she moved to Virginia. In addition to her work here at BRMC, Ms. Brunk is a Graduate Teaching Assistant at the University of Virginia School of Nursing. She is also studying for her Doctorate of Nursing Practice at the University of Virginia.  Ms. Brunk is fluent in Spanish.

Ann Pettigrew, FNP

Ms. Pettigrew  received her BS and Masters  in Microbiology. Her RN followed in 2009 and she was licensed in 2010. She received her Family Nurse Practitioner Certificate from VCU in 2013. She was an RN on staff at Bon Secours St. Mary’s Hospital for 2 years. Before joining BRMC Ms. Pettigrew was Clinical Outcomes Coordinator at the Fan Free Clinic in Richmond and served at the Capital Area Health Network and the Charlottesville Free Clinic. She is committed to projects for homeless and other underserved populations.

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Mental Health Services


Juliana Frosch, PMH-CNS, PMH-NP

Juliana Frosch is the Counseling & Behavioral Health specialist at Blue Ridge Medical Center. She received a Bachelor’s of Arts from Sweet Briar College, a Bachelor’s of Science in Nursing from Lynchburg College, a Masters of Science in Nursing with a focus on Psychiatric/Mental Health Nursing from the University of Virginia and a Post-Masters Psychiatric/Mental Health Nurse Practitioner in 2002. Ms. Frosch has additional training in Mind-Body Medicine from Harvard Medical School. She has a long history with BRMC, starting as a volunteer with our Rural Health Outreach Program, then as an RN, a Clinical Nurse Specialist, and in 2004 as a Psychiatric Nurse Practitioner. In addition, Ms. Frosch has held behavioral health positions in Fishersville, Charlottesville, Lynchburg, and Richmond. She tries to arrange her schedule to meet the needs of her patients and as such has scheduled evening and Saturday hours.

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Physical Therapy


Janet Ngai, PT

Physical Therapy services at BRMC are provided by Janet Ngai, PT. She graduated with her Bachelor’s of Science in Physical Therapy from the University of Pennsylvania. She works with adults and children, provides one-on-one sessions through scheduled appointments at BRMC or through home visits, and accepts all insurances. Patients who qualify for the Sliding Scale Discount Program at Blue Ridge may also receive therapy services. She has been trained in strain/counterstrain, as well as manual therapy techniques to help her patients return to their maximum function with less pain. Appointments are made directly with Ms. Ngai, but contact BRMC to find out more.

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Dental Services


Ivona Cristi, DDS

Ivona Cristi earned her Doctor of Dental Surgery from West Virginia University School of Dentistry in Morgantown, WV.  Since that time, Dr. Cristi has received many recognitions and awards for her skills and leadership in Dentistry including the Delta Dental Award for Strong Leadership and the Team Leader Recognition Award for Modeling Professional Conduct and Unsurpassed Initiative in Patient Care.  She has practiced in Romania, Christiansburg, Roanoke, and Charlottesville before joining the Blue Ridge Medical Center staff in August, 2013.  She has volunteered her professional services in many venues, including the  Roanoke Mission of Mercy Project, the Charlottesville Free Clinic, and in Guatemala.