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

Blue Ridge Medical Management Corpoartion

Organization Urology Physician · NPI 1629778725

Blue Ridge Medical Management Corpoartion is an Urology Physician in Bristol, Tennessee. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1629778725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Tarte — Enrollment Supervisor · (423) 302-6565
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

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