NPIMap

Organization Active NPI

Blacksburg Neurology PC

  • Specialist
  • Christiansburg, VA
National Provider Identifier
1114937109
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101237795 Issued in VA
Legal business name
BLACKSBURG NEUROLOGY PC
Practice address
90 College St Ste B
Christiansburg, VA 24073-2983
Phone
(540) 381-6211
Fax
(540) 381-9483
NPI assigned
Aug 9, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Jill Cramer, MDNPI 1730120965
Title
Owner
Phone
(540) 381-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101237795 VA Primary

Addresses

Primary practice location

90 College St Ste B
Christiansburg, VA 24073-2983

Mailing address

90 College St Ste B
Christiansburg, VA 24073-2983
Phone (540) 381-6211

Other practice location 1

431 Apperson Dr
Salem, VA 24153-7026
Phone (540) 381-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000977 VA Part B Supplier - Clinic/Group Practice 4183649825 Receives reassigned benefits from 9 practitioners
Practice locations: Salem, VA; Christiansburg, VA

National Provider Directory

National Provider Directory

Locations

2829 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 307-5757

2955 Market St
Ste B
Christiansburg, VA 24073
Phone (540) 251-5084

90 College St
Christiansburg, VA 24073

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1114937109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 COLLEGE ST STE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732983",
            "telephone_number": "540-381-6211",
            "fax_number": "540-645-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 COLLEGE ST STE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732983",
            "telephone_number": "540-381-6211",
            "fax_number": "540-381-9483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Apperson Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537026",
            "country_code": "US",
            "telephone_number": "540-381-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACKSBURG NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-381-6211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101237795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.