Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Mountain Regenerative Medicine PLLC

Organization Family Medicine Physician · NPI 1205434370

Blue Mountain Regenerative Medicine PLLC is a Family Medicine Physician in Fredericksburg, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 E Main St
Fredericksburg, PA 17026-0152
Phone: (717) 507-4469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205434370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James McKinney — Owner · (717) 865-6183
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing addressPo Box 152, Fredericksburg, PA 17026-0152

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