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BLUE RIDGE PHYSICAL MEDICINE
NPI 1710173679
Clinic/Center - Pain in Roanoke, VA

Active since September 24, 2007
4582 FRANKLIN RD SW, ROANOKE, VA 24014(540) 772-8052(540) 772-4508 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Physical Medicine NPPES

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

BLUE RIDGE PHYSICAL MEDICINE (NPI 1710173679) is a healthcare organization registered as a pain in Roanoke, Virginia and active in the NPI registry since September 2007. The organization lists Rebecca W Tanner, Owner, as its authorized official.

NPPES Registry Identity

NPI1710173679
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameBLUE RIDGE PHYSICAL MEDICINE
Location Address4582 FRANKLIN RD SWRoanoke, VA 24014-5144
Mailing Address4582 Franklin Rd SwRoanoke, VA 24014-5144 · (540) 772-8052 · Fax (540) 772-4508
Phone(540) 772-8052
Fax(540) 772-4508
Organization SubpartNo
Authorized OfficialRebecca W TannerOwner · (540) 772-8052
Enumeration DateSeptember 24, 2007
✔ NPI 1710173679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
4582 FRANKLIN RD SW, Roanoke, VA 24014
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Other Identifiers 1

Medicaid6801510VA

Other Providers at the Same Location NPPES

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

DR. REBECCA WEBB TANNER
Neuromusculoskeletal Medicine, Sports Medicine
4582 FRANKLIN RD SW
ROANOKE, VA 24014
Roanoke City (540) 772-8052

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 Physical Medicine's NPI number?

The NPI number for Blue Ridge Physical Medicine is 1710173679. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Blue Ridge Physical Medicine located?

Blue Ridge Physical Medicine is located at 4582 Franklin Rd SW, Roanoke, VA 24014. The listed phone number is (540) 772-8052.

What is Blue Ridge Physical Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Physical Medicine was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.