Blue Ridge Healthcare Medical Group Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

28077 Issued in NC

Legal business name

BLUE RIDGE HEALTHCARE MEDICAL GROUP INC

Doing business as

Blue Ridge Long Term Care Medicine

Practice address

2201 S Sterling St
Morganton, NC 28655-4044

Phone

(828) 580-5000

NPI assigned

Sep 27, 2012

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert G Fritts

Title

SVP/Cfo

Phone

(828) 580-5000

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Blue Ridge Long Term Care Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

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.

• Aubrey Calhoun

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1902898679
  NPD
• Michael K Grossens, M.D.

  • Internal Medicine Physician
  • Morganton, NC
  • NPI 1982711701
  NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1861743007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554044",
            "telephone_number": "828-580-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "828-580-5000"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "28077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRACE RIDGE MEDICAID",
            "identifier": "5921616",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRACE HEIGHTS MEDICAID",
            "identifier": "5921615",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE PINES MEDICAID",
            "identifier": "5921614",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2327875",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Long Term Care Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Healthcare Hospitals, Inc. (UNC Health Blue Ridge)
• Blue Ridge Healthcare Hospitals, Inc. (CMC Blue Ridge)
• Blue Ridge Healthcare Medical Group Inc (BRHC Radiology Practice)
• Blue Ridge Healthcare Medical Group Inc (Grace Psychiatric Associates)
• Blue Ridge Healthcare Medical Group Inc (Blue Ridge Urgent Care)
• Blue Ridge Healthcare Medical Group, Inc (The Cancer Center at Blue Ridge)
• Blue Ridge Healthcare Medical Group, Inc (Blue Ridge Urology)
• Blue Ridge Healthcare Medical Group, Inc (Morganton Family Medicine, PLLC)
• Blue Ridge Healthcare Medical Group, Inc. (BRHC Radiology Practice)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge ENT & Allergy)

• Geriatric Medicine (Family Medicine) Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Geriatric Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.