BLUE RIDGE INTEGRATIVE WELLNESS LLC – NPI #1083192595
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

BLUE RIDGE INTEGRATIVE WELLNESS LLC is a provider located in DRYDEN, VA. NPPES has assigned the NPI number 1083192595 to BLUE RIDGE INTEGRATIVE WELLNESS LLC on August 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was last updated on Nov 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE INTEGRATIVE WELLNESS LLC below.

NPI Profile for
BLUE RIDGE INTEGRATIVE WELLNESS LLC

NPI Number
1083192595
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE INTEGRATIVE WELLNESS LLC
Primary location
512 DRYDEN LOOP
DRYDEN, VA 24243
Phone: (252) 832-1588 Fax: (276) 246-1658
Mailing address
189 DINSMORE RD
DRYDEN, VA 24243-8378
Phone: (276) 832-1588 Fax: (276) 246-1658
Organization Subpart
No
Authorized Official
RODNEY TERRY
PROJECT DIRECTOR
Phone: (252) 452-6075
Updated
Certification Date
Nov 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BLUE RIDGE INTEGRATIVE WELLNESS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROWCP627952600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
261QR1300X
- Clinic/Center / Rural Health
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.