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BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
NPI 1629778725
Urology in Bristol, TN

Active since March 07, 2023
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Medical Management Corpoartion NPPES

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

BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION (NPI 1629778725) is a healthcare organization registered as an urology in Bristol, Tennessee and active in the NPI registry since March 2023. The organization lists Patricia Tarte, Enrollment Supervisor, as its authorized official.

NPPES Registry Identity

NPI1629778725
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 844-1121
Organization SubpartNo
Authorized OfficialPatricia TarteEnrollment Supervisor · (423) 302-6565
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1629778725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
1 MEDICAL PARK BLVD, Bristol, TN 37620
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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.

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

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 Medical Management Corpoartion's NPI number?

The NPI number for Blue Ridge Medical Management Corpoartion is 1629778725. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is Blue Ridge Medical Management Corpoartion located?

Blue Ridge Medical Management Corpoartion is located at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Blue Ridge Medical Management Corpoartion's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corpoartion was last updated on March 7, 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.