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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1730542473


NPI Information

NPI: 1730542473
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Family Medicine - 207QS1201X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
3175 LINDEN DR
STE 3
BRISTOL, VA
ZIP 24202
Phone: (276) 258-4734
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a sleep medicine family medicine in Bristol, VA. The provider is a Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1730542473. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

3175 LINDEN DR
STE 3
BRISTOL, VA
ZIP 24202-849
Phone: (276) 258-4734
Fax: (276) 258-4736

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 302-3051.

The enumeration date for this NPI number is 3/31/2016 and was last updated on 3/29/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS1201XFamily MedicineSleep MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1622863200OTHERVIRGINIADEPARTMENT OF LABOR
21730542473MEDICAIDVIRGINIA

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: 11/14/2023

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