NPIMap

Organization Active NPI

Blowing Rock Medical Clinic PR

  • Geriatric Medicine (Family Medicine) Physician
  • Blowing Rock, NC
National Provider Identifier
1922046820
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
BLOWING ROCK MEDICAL CLINIC PR
Practice address
366 Chestnut Drive
Blowing Rock, NC 28605-0008
Phone
(828) 295-3116
Fax
(828) 295-4388
NPI assigned
Jun 3, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Mrs. Sylvia F Burns
Title
Office Manager
Phone
(828) 295-3116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

366 Chestnut Drive
Blowing Rock, NC 28605-0008

Mailing address

PO Box 8
Blowing Rock, NC 28605-0008
Phone (828) 295-3116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1922046820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286050008",
            "telephone_number": "828-295-3116",
            "fax_number": "828-295-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 CHESTNUT DRIVE",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286050008",
            "telephone_number": "828-295-3116",
            "fax_number": "828-295-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOWING ROCK MEDICAL CLINIC PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-295-3116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blowing Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.