Active NPI
Blue Ridge Radiology, P.C.
- Diagnostic Radiology Physician
- Bristol, TN
National Provider Identifier
1881687689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BLUE RIDGE RADIOLOGY, P.C.
- Practice address
- 933 Highway 126
Bristol, TN 37620-3310 - Phone
- (423) 968-1144
- NPI assigned
- Aug 26, 2005
- Last updated
- Jul 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Snyder
- Title
- Credentialing Manager
- Phone
- (423) 301-6567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
933 Highway 126
Bristol, TN 37620-3310
Mailing address
933 Highway 126
Bristol, TN 37620-3310
Phone (423) 968-1144
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242032 | Other | VA | ANTHEM |
| 1521046 | Other | UMWA | |
| 373437500 | Other | DOL | |
| 023464700 | Other | BLACK LUNG | |
| CD5029 | Other | PGBA (RR MEDICARE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SC, VA, KY, MS, AZ, CA, GA, AL, CO, NC, FL, PA, IL, HI, TX, NY
Enrollment records 17
National Provider Directory
National Provider DirectoryLocations
1039 Highway 126
Bristol, TN 37620
Phone (423) 764-5500
4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406
200 Med Tech Pkwy
Ste 10
Johnson City, TN 37604
Phone (234) 979-5620
Practitioners & affiliated clinicians
Practitioners 114
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.
-
- Diagnostic Radiology Physician
- Johnson City, TN
- NPI 1851688063
VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1881687689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 HIGHWAY 126",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376203310",
"telephone_number": "423-968-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 HIGHWAY 126",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376203310",
"telephone_number": "423-968-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE RADIOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-26",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "423-301-6567"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "242032",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1521046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "373437500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "023464700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PGBA (RR MEDICARE)",
"identifier": "CD5029",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.