Blue Ridge Neuroscience Center, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BLUE RIDGE NEUROSCIENCE CENTER, P.C.

Practice address

2 Sheridan SQ
Ste 200
Kingsport, TN 37660-7399

Phone

(423) 392-2887

Fax

(423) 246-8278

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Regina G Royston

Title

Bookkeeper

Phone

(423) 392-2887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

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

• Carla Renee Cheek, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1275525354
  Medicare reassignment NPD
• Elizabeth Michelle Crawford, ACNP

  • Acute Care Nurse Practitioner
  • Nashville, TN
  • NPI 1699048066

  Single Specialty

  Medicare reassignment NPD
• David Matthew Pryputniewicz, MD

  • Neurological Surgery Physician
  • Kingsport, TN
  • NPI 1871790691
  Medicare reassignment NPD
• Kenneth Wayne Smith, MD

  • Neurological Surgery Physician
  • Kingsport, TN
  • NPI 1033101126
  Medicare reassignment NPD
• Mary Beth Still, APN

  • Nurse Practitioner
  • Johnson City, TN
  • NPI 1760417943
  Medicare reassignment NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1871502880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHERIDAN SQ",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607399",
            "telephone_number": "423-392-2887",
            "fax_number": "423-246-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHERIDAN SQ",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607399",
            "telephone_number": "423-392-2887",
            "fax_number": "423-246-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE NEUROSCIENCE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "ROYSTON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "423-392-2887",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Medical Management Corporation (DBA Kingsport Internal Medicine)
• Blue Ridge Medical Management Corporation (First Assist Urgent Care)
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Managgement Corporation (Ballad Health Medical Associates)
• Blue Ridge Neurology Associates P.C.
• Keithen Blye
• Megan Lynne Boatman, FNP-BC
• Melania Bochis, MD
• Karolina Bocian
• Peter R Bockhorst, DO

• Specialist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.