Active NPI
Blue Ridge Family Physicians, PLLC
- Primary Care Clinic/Center
- Raleigh, NC
National Provider Identifier
1356433155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 108015
- Legal business name
- BLUE RIDGE FAMILY PHYSICIANS, PLLC
- Practice address
- 2605 Blue Ridge Rd
Suite 300
Raleigh, NC 27607-6475 - Phone
- (919) 787-3448
- Fax
- (919) 232-0006
- NPI assigned
- Sep 29, 2006
- Last updated
- Mar 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kirsten H. Avery, MD
- Title
- Physician
- Phone
- (919) 787-3448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 108015 | NC | Primary |
Addresses
Primary practice location
2605 Blue Ridge Rd
Suite 300
Raleigh, NC 27607-6475
Mailing address
2605 Blue Ridge Rd
Suite 300
Raleigh, NC 27607-6475
Phone (919) 787-3448
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1477633477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236297600000",
"number": "1356433155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 BLUE RIDGE RD",
"address_2": "SUITE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076475",
"telephone_number": "919-787-3448",
"fax_number": "919-232-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 BLUE RIDGE RD",
"address_2": "SUITE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076475",
"telephone_number": "919-787-3448",
"fax_number": "919-232-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE FAMILY PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2009-03-06",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "919-787-3448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NC",
"license": "108015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Blue Monkey Counseling, PLLC
- Blue Orchid Medical Transit LLC
- Blue Ram Home Care, LLC
- Blue Ridge Day Surgery Center, LP (Blue Ridge Day Surgery Center)
- Blue Ridge Dermatology Associates
- Blue Ridge Medical Group PA
- Blue Ridge OB/GYN Associates PLLC
- Blue Ridge of Raleigh LLC (Blue Ridge Health Care Center)
- Blue Ridge of Raleigh, LLC (Blue Ridge Health Care Center)
- Blue Ridge Pediatrics LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.