Organization Active NPI

Blue Mountain Health Care LLC

Doing business as Blue Mountain Health Care

  • Family Medicine Physician
  • Bulverde, TX
National Provider Identifier
1033932132
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUE MOUNTAIN HEALTH CARE LLC
Doing business as
Blue Mountain Health Care
Practice address
32685 US Highway 281 N Ste 140
Bulverde, TX 78163-3272
Phone
(830) 980-3777
Fax
(866) 598-4096
NPI assigned
Nov 6, 2024
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Belal Ellithy
Title
Cfo/Owner
Phone
(732) 241-1960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Health & Wellness Coach 171400000X

Addresses

Primary practice location

32685 US Highway 281 N Ste 140
Bulverde, TX 78163-3272

Mailing address

32685 US Highway 281 N Ste 140
Bulverde, TX 78163-3272
Phone (830) 980-3777

Other names 1

  • BLUE MOUNTAIN HEALTH CARE Doing business as

National Provider Directory

National Provider Directory

Locations

32685 US Highway 281 N
Ste 140
Bulverde, TX 78163
Phone (830) 980-3777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1033932132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32685 US HIGHWAY 281 N STE 140",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633272",
            "telephone_number": "830-980-3777",
            "fax_number": "866-598-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32685 US HIGHWAY 281 N STE 140",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633272",
            "telephone_number": "830-980-3777",
            "fax_number": "866-598-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ELLITHY",
        "authorized_official_first_name": "BELAL",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "732-241-1960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE MOUNTAIN HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.