Blue Ridge Academic Medical Group, Plc in Blacksburg - Neuromusculoskeletal Medicine, Sports Medicine

Blue Ridge Academic Medical Group, Plc - NPI 1861453078

Blue Ridge Academic Medical Group, Plc is a Neuromusculoskeletal Medicine, Sports Medicine in Blacksburg, Virginia. Blue Ridge Academic Medical Group, Plc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Blue Ridge Academic Medical Group, Plc is 1861453078. The last update date is 2020-08-22.

Blue Ridge Academic Medical Group, Plc's current location address is 3700 S Main St, Blacksburg, Virginia. You can contact this provider via phone number 5409511111. The mailing address for Blue Ridge Academic Medical Group, Plc is 3700 S Main St, Blacksburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blue Ridge Academic Medical Group, Plc
Address 3700 S Main St, Blacksburg, Virginia
Phone Number 5409511111
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Kirstein J Isaac
Credentials D.O.
Telephone Number 5408185890

NPI Number Detail

NPI Number 1861453078
Provider Enumeration Date 2006-03-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3700 S Main St
City Blacksburg
State Virginia (VA)
Post Code 240607017
Phone Number 5409511111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine, Sports Medicine
Taxonomy 204C00000X
Licence No 102201473
Definition:
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
279560 VA ANTHEM
DA5070 VA RAILROAD MEDICARE

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FAQs about Blue Ridge Academic Medical Group, Plc

What is the unique 10-digit identification code assigned to Blue Ridge Academic Medical Group, Plc by the Centers for Medicare & Medicaid Services?

The Blue Ridge Academic Medical Group, Plc has been issued the NPI (National Provider Identifier) 1861453078, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Blue Ridge Academic Medical Group, Plc?

The Blue Ridge Academic Medical Group, Plc is situated at 3700 S Main St, in the city of Blacksburg, state of VA, with the zip code 240607017.

What is the Blue Ridge Academic Medical Group, Plc's specialty and taxonomy code?

The Blue Ridge Academic Medical Group, Plc's specialty is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code is 204C00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861453078 to Blue Ridge Academic Medical Group, Plc?

The Centers for Medicare & Medicaid Services originally issued the 1861453078 to Blue Ridge Academic Medical Group, Plc on 2006-03-29.

As of what date was the information pertaining to Blue Ridge Academic Medical Group, Plc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Blue Ridge Academic Medical Group, Plc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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