BLUE RIDGE NEUROMONITORING LLC
NPI 1184308496
Electrodiagnostic Medicine in Ft Worth, TX

Active since June 15, 2023
111 BOLAND ST STE 211, FT WORTH, TX 76107(817) 529-8511(903) 328-6568 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Ridge Neuromonitoring Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE RIDGE NEUROMONITORING LLC (NPI 1184308496) is a healthcare organization registered as an electrodiagnostic medicine in Ft Worth, Texas and active in the NPI registry since June 2023. The organization lists Gina Sullivan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1184308496
Entity TypeOrganization
Primary Taxonomy204R00000X
Legal Business NameBLUE RIDGE NEUROMONITORING LLC
Location Address111 BOLAND ST STE 211Ft Worth, TX 76107-1265
Mailing Address111 Boland St Ste 211Ft Worth, TX 76107-1265 · (817) 529-8511
Fax(903) 328-6568
Organization SubpartNo
Authorized OfficialGina SullivanPractice Administrator · (903) 259-0550
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1184308496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyElectrodiagnostic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204R00000X
Definition
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.
111 BOLAND ST STE 211, Ft Worth, TX 76107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other
111 BOLAND ST STE 211
FORT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Neuromonitoring LLC's NPI number?

The NPI number for Blue Ridge Neuromonitoring LLC is 1184308496. It was assigned to this organization in the NPPES registry on June 15, 2023.

Where is Blue Ridge Neuromonitoring LLC located?

Blue Ridge Neuromonitoring LLC is located at 111 Boland St Ste 211, Ft Worth, TX 76107. The listed phone number is (817) 529-8511.

What is Blue Ridge Neuromonitoring LLC's specialty?

The primary specialty registered for this NPI is Electrodiagnostic Medicine with taxonomy code 204R00000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Neuromonitoring LLC was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.