Organization Active NPI

Blue Ridge Foot and Ankle Clinic PLC

  • Foot & Ankle Surgery Podiatrist
  • Charlottesville, VA
National Provider Identifier
1730112475
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300932 Issued in VA
Legal business name
BLUE RIDGE FOOT AND ANKLE CLINIC PLC
Practice address
887A Rio East CT
Charlottesville, VA 22901-8004
Phone
(434) 979-8116
Fax
(434) 979-8880
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Kevin P Murray, DPM
Title
Owner
Phone
(434) 979-8116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 0103300932 VA Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 0103000815 VA

Addresses

Primary practice location

887A Rio East CT
Charlottesville, VA 22901-8004

Mailing address

887A Rio East CT
Charlottesville, VA 22901-8004
Phone (434) 979-8116

Other identifiers 4

IdentifierTypeStateIssuer
010136016MedicaidVA
010135770MedicaidVA
010151503MedicaidVA
010193133MedicaidVA

National Provider Directory

National Provider Directory

Locations

887 Rio East Ct
#A
Charlottesville, VA 22901
Phone (434) 979-8116

887A Rio East Ct
Charlottesvle, VA 22901
Phone (434) 979-8116

66 Parkway Ln
Ste 101
Fishersville, VA 22939
Phone (540) 451-2833

66 Parkway Ln
Fishersville, VA 22939

66 Parkway Ln
#101
Fishersville, VA 22939
Phone (540) 451-2832

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1730112475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887A RIO EAST CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018004",
            "telephone_number": "434-979-8116",
            "fax_number": "434-979-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887A RIO EAST CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018004",
            "telephone_number": "434-979-8116",
            "fax_number": "434-979-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE FOOT AND ANKLE CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-979-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300932",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010136016",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010135770",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010151503",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010193133",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.