Organization Active NPI

Blue Ridge Family Physicians, PLLC

  • Primary Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1356433155
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
108015 Issued in NC
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Dr. Kirsten H. Avery, MDNPI 1477633477
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.