Organization Active NPI

Blue Ridge Peaks Internal Medicine, PLLC

  • Specialist
  • Fletcher, NC
National Provider Identifier
1972671691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BLUE RIDGE PEAKS INTERNAL MEDICINE, PLLC
Practice address
12 Cane Creek Rd
Fletcher, NC 28732-9707
Phone
(828) 687-7722
Fax
(828) 687-7174
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric D Weiner, M.D.NPI 1780626937
Title
Owner
Phone
(828) 687-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

12 Cane Creek Rd
Fletcher, NC 28732-9707

Mailing address

12 Cane Creek Rd
Fletcher, NC 28732-9707
Phone (828) 687-7722

Other identifiers 3

IdentifierTypeStateIssuer
1421NOtherNCBCBS OF NC
190440OtherNCMEDCOST
5708695OtherNCCIGNA HEALTHCARE

National Provider Directory

National Provider Directory

Locations

12 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 687-7722

Practitioners & affiliated clinicians

Practitioners 1

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972671691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CANE CREEK RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287329707",
            "telephone_number": "828-687-7722",
            "fax_number": "828-687-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CANE CREEK RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287329707",
            "telephone_number": "828-687-7722",
            "fax_number": "828-687-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PEAKS INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-687-7722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1421N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "190440",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "5708695",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fletcher, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.