Blue Ridge Healthcare Medical Group, Inc.
Organization Active NPI Orthopaedic Surgery Physician · Marion, NC
NPI 1659513489 · NPPES record last updated Apr 21, 2010
Key facts
- NPI
- 1659513489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Practice address
- 1135 N Main Street
Marion, NC 28752 - Phone
- (828) 652-2111
- Fax
- (828) 580-4229
- NPI assigned
- Mar 25, 2009
- Organization subpart
- No
Authorized official
- Name
- Robert Fritts
- Title
- SVP/Cfo
- Phone
- (828) 580-5545
Practitioners 1
-
Benjamin David Putnam, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000601 | NC | Part B Supplier - Clinic/Group Practice | 9436159712 |
Receives reassigned benefits from 346 practitioners This NPI is an additional NPI on the enrollment Practice locations: Morganton, NC; Marion, NC; Morgantown, NC; Nebo, NC; Valdese, NC; Winterville, NC; Connelly Springs, NC; Granite Falls, NC… |
National Provider Directory
Locations
1135 N Main St
Marion, NC 28752
Phone (828) 442-0043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X |
Addresses
Primary practice location
1135 N Main Street
Marion, NC 28752
Mailing address
2201 S. Sterling Street
Morganton, NC 28755
Phone (828) 580-4220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009000886 | Other | NC | NC LICENSE |
| 200601047 | Other | NC | NC LICENSE |
Other names
- Mountain Orthopaedics
Other providers in Marion, NC
- Blue Ridge Healthcare Medical Group, Inc
- Blue Ridge Healthcare Medical Group, Inc
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Home Care
- Janet Elizabeth Boyd-Curtis
- Jacquelyn Kate Bradford
All providers in Marion, NC · Orthopaedic Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.