Organization · Type 2 NPI

Blue Ridge Medical Management Corpoartion

Neurological Surgery Physician · Johnson City, TN

NPI number 1417453440 Active

Practice location

701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365

Call (423) 232-8301 Map

Fax (423) 232-8304

Other practice locations

444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 · (423) 578-1518

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician Primary	207T00000X	None listed
Physician Assistant	363A00000X	None listed
Surgical Physician Assistant	363AS0400X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

9 other providers at this address

Other neurological surgery physician providers in Johnson City

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NPI record

NPI: 1417453440
Entity type: Organization (Type 2)
Issued: Mar 30, 2018
Last updated: Mar 29, 2019
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
East Tennessee Brain and Spine Center An Affiliate of MSMG · doing business as
Bhma Neurosurgery, Spine and Rehabilitation Johnson City · other name
Bhma Neurosurgery, Spine and Rehabilitation Kingsport · other name

Authorized official

Carl Kilgore
President
(423) 302-3051

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417453440

Blue Ridge Medical Management Corpoartion's National Provider Identifier is 1417453440, issued on Mar 30, 2018. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Johnson City, TN. The record was last updated on Mar 29, 2019.