MSMG URO RURL – NPI #1811269640
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

MSMG URO RURL is an urologist located in RURAL RETREAT, VA. NPPES has assigned the NPI number 1811269640 to MSMG URO RURL on February 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MSMG URO RURL” is a dba name, the actual legal business name for this organization is BLUE RIDGE MEDICAL MANAGEMENT CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 9 years ago on Feb 14, 2017. 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 MSMG URO RURL below.

NPI Profile for
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number
1811269640
Enumeration Date

(more than 14 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 MEDICAL MANAGEMENT CORPORATION
Doing Business As (dba): MSMG URO RURL
Primary location
7021 WEST LEE HIGHWAY
SUITE B
RURAL RETREAT, VA 24368
Phone: (276) 783-5400 Fax: (276) 783-5521
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL KILGORE
PRESIDENT
Phone: (423) 915-5116
Updated
Identifiers

Identifiers for MSMG URO RURL

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
MEDICAIDVA1811269640
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
208800000X
- Urology (Primary)
363LF0000X
- Nurse Practitioner / Family
VA 0024166068

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.