Blue Ridge Pain Management & Palliative Care PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

0098-00481 Issued in NC

Legal business name

BLUE RIDGE PAIN MANAGEMENT & PALLIATIVE CARE PA

Practice address

3 Walden Ridge Dr Ste 100
Asheville, NC 28803-8587

Phone

(828) 350-9310

Fax

(828) 350-9311

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Buzzanell, M.D.NPI 1841364551

Title

President

Phone

(828) 350-9310

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

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

• Charles A Buzzanell, M.D.

  • Specialist
  • Asheville, NC
  • NPI 1841364551
  Medicare reassignment Care Compare group NPD Authorized official
• Hali Bosma Dockery, FNP

  • Family Nurse Practitioner
  • Asheville, NC
  • NPI 1669361044
  Medicare reassignment Care Compare group NPD
• Steven Robert Punzell, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hendersonville, NC
  • NPI 1437505203
  Medicare reassignment Care Compare group NPD
• Kayla Bradley, PA-C

  • Medical Physician Assistant
  • Asheville, NC
  • NPI 1316571193
  Medicare reassignment Care Compare group
• Spencer Maney, FNP-BC

  • Family Nurse Practitioner
  • Marshall, NC
  • NPI 1255716445
  Medicare reassignment NPD
• Jacob Dominick Flury, D.O.

  • Anesthesiology Physician
  • Medford, OR
  • NPI 1831518877
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1578618591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALDEN RIDGE DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038587",
            "telephone_number": "828-350-9310",
            "fax_number": "828-350-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALDEN RIDGE DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038587",
            "telephone_number": "828-350-9310",
            "fax_number": "828-350-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PAIN MANAGEMENT & PALLIATIVE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BUZZANELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-350-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "0098-00481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900458",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlesbuzzanell@blueridgepainmanagement.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "3 Walden Ridge Dr Ste 100",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288038587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blue Ridge Headache Center
• Blue Ridge Home Care
• Blue Ridge Home Care, Inc.
• Blue Ridge Laboratories LLC
• Blue Ridge Neuropsychological Associates, P.a.
• Blue Ridge Pharmacy Inc
• Blue Ridge Podiatry Associates PA
• Blue Ridge Premier Medicine, PLLC
• Blue Ridge Recovery Center, LLC
• Blue Ridge Senior Services, Inc.

• Specialist in Asheville, NC
• Providers in Asheville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.