NPIMap

Organization Active NPI

Bluewater Physician Services

  • Specialist
  • Asheville, NC
National Provider Identifier
1811598733
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BLUEWATER PHYSICIAN SERVICES
Practice address
455 Victoria Rd
Asheville, NC 28801-4827
Phone
(828) 225-3829
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mr. Jeff Moyers
Title
Ceo
Phone
(828) 319-9618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

455 Victoria Rd
Asheville, NC 28801-4827

Mailing address

1355 Queensferry Rd
Cary, NC 27511-6569
Phone (828) 319-9618

National Provider Directory

National Provider Directory

Locations

775 Haywood Rd
Ste H
Asheville, NC 28806

1070 Old Ocean Hwy
Ste H
Bolivia, NC 28422

8200 Litchford Rd
Raleigh, NC 27615
Phone (919) 878-7772

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1811598733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 QUEENSFERRY RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116569",
            "telephone_number": "828-319-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 VICTORIA RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014827",
            "telephone_number": "828-225-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MOYERS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-319-9618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

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

Verify at the official NPI Registry.