BLUE RIDGE UROLOGICAL ASSOC., PC
NPI 1194746289
Urology in Fishersville, VA

NPI Status: Active since July 22, 2006

Contact Information

70 MEDICAL CENTER CIR
SUITE 208
FISHERSVILLE, VA
ZIP 22939
Phone: (540) 345-3556
Fax: (540) 342-2193

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  • Organization
  • Urology
  • CLIA Number: 49D0662940
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2027

About BLUE RIDGE UROLOGICAL ASSOC., PC

This page provides the complete NPI Profile along with additional information for Blue Ridge Urological Assoc., Pc, a provider established in Fishersville, Virginia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1194746289 assigned on July 2006. The practitioner's primary taxonomy code is 208800000X with license number 0101033256 (VA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Carie D Buckley Iii Md (President)

NPI
1194746289
Provider Name
BLUE RIDGE UROLOGICAL ASSOC., PC
Entity Type
Organization
Location Address
70 MEDICAL CENTER CIR SUITE 208 FISHERSVILLE, VA 22939
Location Phone
(540) 345-3556
Location Fax
(540) 342-2193
Mailing Address
PO BOX 8310 ROANOKE, VA 24014
Mailing Phone
(540) 345-3556
Mailing Fax
(540) 342-2193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
03-07-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
0101033256
License State
VA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARIE D BUCKLEY III MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(540) 345-3556

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C01112MEDICARE PIN (08)VA 
279040OTHER (01)VIANTHEM
011346OTHER (01)VAANTHEM
440822OTHER (01)VAANTHEM
011345OTHER (01)VAANTHEM
CE3025MEDICARE PIN (08) 
049990OTHER (01)VAANTHEM

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0662940
Facility Type
Physician Office
Certificate Effective Date
July 12, 2025
Certificate Expiration Date
July 11, 2027
Laboratory Director
WILLIAM JONES III
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Blue Ridge Urological Assoc., Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194746289, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 4 + 4 + 1 + 2 + 2 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1194746289.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
70 MEDICAL CENTER CIR, SUITE 201
FISHERSVILLE, VA 22939
Physician Assistant (Medical)
70 MEDICAL CENTER CIR, SUITE 305
FISHERSVILLE, VA 22939
Urology
70 MEDICAL CENTER CIR, SUITE 208
FISHERSVILLE, VA 22939
Urology
70 MEDICAL CENTER CIR, SUITE 208
FISHERSVILLE, VA 22939
Internal Medicine (Cardiovascular Disease)
70 MEDICAL CENTER CIR, SUITE 211
FISHERSVILLE, VA 22939
Internal Medicine (Cardiovascular Disease)
70 MEDICAL CENTER CIR, SUITE 211
FISHERSVILLE, VA 22939
Internal Medicine (Gastroenterology)
70 MEDICAL CENTER CIR, SUITE 302
FISHERSVILLE, VA 22939
Psychiatry & Neurology (Neurology)
70 MEDICAL CENTER CIR
FISHERSVILLE, VA 22939
Audiologist
70 MEDICAL CENTER CIR, SUITE 204
FISHERSVILLE, VA 22939
Internal Medicine (Pulmonary Disease)
70 MEDICAL CENTER CIR, SUITE 307
FISHERSVILLE, VA 22939
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Surgery
70 MEDICAL CENTER CIR, SUITE 213
FISHERSVILLE, VA 22939
Specialist
70 MEDICAL CENTER CIR, SUITE 309
FISHERSVILLE, VA 22939
Pharmacist
70 MEDICAL CENTER CIR, SUITE 101
FISHERSVILLE, VA 22939
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Physician Assistant
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194746289, enumerated as an "organization" on July 22, 2006.

The provider is located at 70 MEDICAL CENTER CIR SUITE 208 FISHERSVILLE, VA 22939 and the phone number is (540) 345-3556.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.