BLUE RIDGE HEALTHCARE MEDICAL GROUP INC. NPI 1578842035

NPI Information

NPI: 1578842035
Provider Name: BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Doing Business As: BLUE RIDGE RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2134 14TH AVENUE CIR NW
HICKORY, NC
ZIP 28601
Phone: (828) 580-1235
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BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. is a diagnostic radiology radiology in Hickory, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. NPI is 1578842035. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Ridge Radiology.

The provider's business location address is:

2134 14TH AVENUE CIR NW
HICKORY, NC
ZIP 28601-357
Phone: (828) 580-1235
Fax: (828) 433-1992

The provider's authorized official is Robert G Fritts .
The authorized official title is Cfo and has the following contact phone number (828) 580-5545.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 8/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	026KP	OTHER	NORTH CAROLINA	BCBS
2	A348	MEDICARE PIN	NORTH CAROLINA
3	5920098	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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