Blue Ridge Healthcare Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Practice address

730 Malcolm Blvd
Suite 100
Rutherford College, NC 28671-0000

Phone

(828) 580-8220

Fax

(828) 580-3392

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Robert Fritts

Title

SVP/Cfo

Phone

(828) 580-5545

Specialties & licenses 1

Addresses

Other names 1

• Blue Ridge Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Field

  • Internal Medicine Physician
  • Morganton, NC
  • NPI 1083030894

  Internal Medicine

  NPD
• Nathaniel Ryan Krogel, D.O.

  • Gastroenterology Physician
  • Morganton, NC
  • NPI 1700090636
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1104914175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MALCOLM BLVD",
            "address_2": "SUITE 100",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710000",
            "telephone_number": "828-580-8220",
            "fax_number": "828-580-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MALCOLM BLVD",
            "address_2": "SUITE 100",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710000",
            "telephone_number": "828-580-8220",
            "fax_number": "828-580-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "828-580-5545"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Healthcare Hospitals, Inc.
• Blue Ridge Healthcare Hospitals, Inc.
• Blue Ridge Healthcare Medical Group
• Blue Ridge Healthcare Medical Group, Inc
• Blue Ridge Healthcare Medical Group, Inc.
• Blue Ridge Healthcare Medical Group, Inc.
• Blue Ridge Healthcare Medical Group, Inc.
• Blue Ridge Healthcare Medical Group, Inc.
• Blue Ridge Healthcare Medical Group, Inc.
• Blue Ridge Healthcare Medical Group, Inc.

• All providers in Rutherford College, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.