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

Blue Ridge Medical Management Corporation

Organization Internal Medicine Physician · NPI 1043688385

Blue Ridge Medical Management Corporation is an Internal Medicine Physician in Johnson City, Tennessee. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

410 N State Of Franklin Rd Ste 135B
Johnson City, TN 37604
Phone: (423) 431-4866
Fax: (423) 431-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1043688385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Bhma Interventional Radiology - Johnson City; Ballad Health Medical Associates; Ballad Health Medical Associates; Msmg Neuroendovascular Johnson City; Bhma Neuroendovascular Surgery Johnson City
NPI enumeratedSeptember 3, 2015
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address410 N State Of Franklin Rd, Suite 135b, Johnson City, TN 37604

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