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

Blue Ridge Medical Management Corporation

Organization Urology Physician · NPI 1811269640

Blue Ridge Medical Management Corporation is an Urology Physician in Rural Retreat, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

7021 W Lee Hwy Ste B
Rural Retreat, VA 24368
Phone: (276) 783-5400
Fax: (276) 783-5521
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024166068 (VA)

Record details

NPI number1811269640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Uro Rurl
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 14, 2017
Mailing address7021 West Lee Highway, Suite B, Rural Retreat, VA 24368