BLUE RIDGE RADIOLOGY P.C. NPI 1881687689

NPI Information

NPI: 1881687689
Provider Name: BLUE RIDGE RADIOLOGY, P.C.
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Address: 111 STEVENSWOOD DR
BRISTOL, TN
ZIP 37620
Phone: (423) 968-1144

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NPI Details

BLUE RIDGE RADIOLOGY, P.C. is a diagnostic radiology radiology in Bristol, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BLUE RIDGE RADIOLOGY, P.C. NPI is 1881687689. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 STEVENSWOOD DR
BRISTOL, TN
ZIP 37620-308
Phone: (423) 968-1144
Fax: (423) 968-3453

The provider's authorized official is Michelle Snyder .
The authorized official title is Credentialing Manager and has the following contact phone number (423) 301-6567.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 7/30/2025.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	CD5029	OTHER		PGBA (RR MEDICARE)
2	023464700	OTHER		BLACK LUNG
3	242032	OTHER	VIRGINIA	ANTHEM
4	373437500	OTHER		DOL
5	1521046	OTHER		UMWA

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: 11/21/2025

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