Blue Ridge Clinic of Chiropractic, LLC

Organization Active NPI Chiropractor · Stuarts Draft, VA

NPI 1417235409 · NPPES record last updated Apr 8, 2025

Key facts

NPI
1417235409
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
0104002062 (VA)
Legal business name
BLUE RIDGE CLINIC OF CHIROPRACTIC, LLC
Practice address
2780 Stuarts Draft Hwy
Suite #106
Stuarts Draft, VA 24477-2779
Phone
(540) 337-1238
Fax
(540) 338-1239
NPI assigned
Jul 26, 2011
Organization subpart
No

Authorized official

Name
Dr. David T. Robinson, D.C.
Title
Chiropractor/Sole Member
Phone
(540) 337-1238

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110817000225 VA Part B Supplier - Clinic/Group Practice 9133398738 Receives reassigned benefits from 1 practitioner
Practice locations: Stuarts Draft, VA

National Provider Directory

Locations

2780 Stuarts Draft Hwy
Ste 106
Stuarts Draft, VA 24477
Phone (540) 337-1238

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 0104002062 VA Yes

Addresses

Primary practice location

2780 Stuarts Draft Hwy
Suite #106
Stuarts Draft, VA 24477-2779

Mailing address

PO Box 641
Stuarts Draft, VA 24477-0641
Phone (540) 337-1238

Other providers in Stuarts Draft, VA

All providers in Stuarts Draft, VA · Chiropractor in Virginia

Sources for this page

Verify at the official NPI Registry.