Active NPI
Blue Ridge Neurology Associates P.C.
- Specialist
- Kingsport, TN
National Provider Identifier
1639190846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD26480
- Legal business name
- BLUE RIDGE NEUROLOGY ASSOCIATES P.C.
- Practice address
- 2012 Brookside Dr
Ste. 8
Kingsport, TN 37660-4645 - Phone
- (423) 224-4183
- Fax
- (423) 224-4180
- NPI assigned
- Jul 22, 2006
- 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. Michael S Dew, M.D.
- Title
- Doctor
- Phone
- (423) 224-4183
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD26480 | TN | Primary |
| Specialist | 174400000X | MD20022 | TN |
Addresses
Primary practice location
2012 Brookside Dr
Ste. 8
Kingsport, TN 37660-4645
Mailing address
2012 Brookside Dr
Ste. 8
Kingsport, TN 37660-4645
Phone (423) 224-4183
National Provider Directory
National Provider DirectoryLocations
2012 Brookside Dr
Ste 8
Kingsport, TN 37660
Phone (423) 224-3125
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Kingsport, TN
- NPI 1093701427
-
- Neurology Physician
- Knoxville, TN
- NPI 1306828314
-
- Neurology Physician
- Dartmouth, MA
- NPI 1861441891
-
- Neurology Physician
- Norton, VA
- NPI 1376502385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639190846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 BROOKSIDE DR",
"address_2": "STE. 8",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604645",
"telephone_number": "423-224-4183",
"fax_number": "423-224-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 BROOKSIDE DR",
"address_2": "STE. 8",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604645",
"telephone_number": "423-224-4183",
"fax_number": "423-224-4180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE NEUROLOGY ASSOCIATES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEW",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "423-224-4183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "MD26480",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "MD20022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Managgement Corporation
- Blue Ridge Neuroscience Center, P.C.
- Keithen Blye
- Megan Lynne Boatman, FNP-BC
- Melania Bochis, MD
- Karolina Bocian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.