BLUE RIDGE INTERNAL MEDICINE INC.
NPI 1285729178
Internal Medicine in Princeton, WV

Active since October 04, 2006CLIA 51D2082434 · Waiver
407 12TH STREET EXT, PRINCETON, WV 24740(304) 487-0232(304) 487-0285 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Ridge Internal Medicine Inc. NPPES

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

BLUE RIDGE INTERNAL MEDICINE INC. (NPI 1285729178) is a healthcare organization registered as an internal medicine in Princeton, West Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Todd Andrew Smith, President, as its authorized official.

NPPES Registry Identity

NPI1285729178
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE RIDGE INTERNAL MEDICINE INC.
Location Address407 12TH STREET EXTPrinceton, WV 24740-2300
Mailing AddressPo Box 5065Princeton, WV 24740-5065 · (304) 487-0232 · Fax (304) 487-0285
Fax(304) 487-0285
Organization SubpartNo
Authorized OfficialTodd Andrew SmithPresident · (304) 487-0232
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 10, 2008
NPI 1285729178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WV · 1804
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
407 12TH STREET EXT, Princeton, WV 24740

Other Identifiers 2

Medicaid3810003706WV
Medicare ID-Type Unspecified9325201WV · Medicare Group Id Number

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2082434

Princeton Community Hospital Association Dba Blue Ridge Internal Medicine · Princeton, WV
Active · expires Apr 9, 2027
CLIA Number51D2082434
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorDr. Todd A. Smith
Laboratory Phone(304) 487-0232
Laboratory LocationPrinceton Community Hospital Association Dba Blue Ridge Internal Medicine407 12th Street Extension, Princeton, WV 24740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
407 12TH STREET EXT
PRINCETON, WV 24740
Clinical Medical Laboratory
407 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner
407 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
407 12TH STREET EXT
PRINCETON, WV 24740
Internal Medicine
407 12TH STREET EXT
PRINCETON, WV 24740
Internal Medicine
407 12TH STREET EXT
PRINCETON, WV 24740

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 Internal Medicine Inc.'s NPI number?

The NPI number for Blue Ridge Internal Medicine Inc. is 1285729178. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Blue Ridge Internal Medicine Inc. located?

Blue Ridge Internal Medicine Inc. is located at 407 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 487-0232.

What is Blue Ridge Internal Medicine Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Blue Ridge Internal Medicine Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2082434) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Ridge Internal Medicine Inc. was last updated on July 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.