BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC – NPI #1114038163
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC is a provider located in BOONE, NC. NPPES has assigned the NPI number 1114038163 to BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 14 years ago on Jan 10, 2012. 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 PEDIATRIC & ADOLESCENT MEDICINE, INC below.

NPI Profile for
BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC

NPI Number
1114038163
Enumeration Date

(about 20 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 PEDIATRIC & ADOLESCENT MEDICINE, INC
Primary location
579 GREENWAY RD
SUITE 200
BOONE, NC 28607-4809
Phone: (828) 262-0100 Fax: (828) 264-7592
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURA HARDEE
OFFICE MANAGER
Phone: (828) 262-0100
Updated
Identifiers

Identifiers for BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC

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
OTHERBLUE CROSS BLUE SHIELDNC0110K
MEDICAIDNC890110K
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
208000000X
- Pediatrics (Primary)
NC 39798

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.