BLUE RIDGE HEALTHCARE MEDICAL GROUP INC. NPI 1053546523

NPI Information

  • NPI: 1053546523
  • Provider Name: BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: BLUE RIDGE SURGICAL SPECIALISTS
  • Address: 730 MALCOLM BLVD.
    SUITE 220
    RUTHERFORD COLLEGE, NC
    ZIP 28671
  • Phone: (828) 879-3572

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NPI Details

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. is a surgery in Rutherford College, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. NPI is 1053546523. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Blue Ridge Surgical Specialists.

The provider's business location address is:

730 MALCOLM BLVD.
SUITE 220
RUTHERFORD COLLEGE, NC
ZIP 28671
Phone: (828) 879-3572
Fax: (828) 580-4229

The provider's authorized official is Robert Fritts .
The authorized official title is Svp-cfo and has the following contact phone number (828) 580-5545.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 4/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
3208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12327875MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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