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

Blue Ridge Pediatric & Adolescent Medicine, Inc

Organization Pediatrics Physician · NPI 1114038163

Blue Ridge Pediatric & Adolescent Medicine, Inc is a Pediatrics Physician in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

579 Greenway Rd Ste 200
Boone, NC 28607-4809
Phone: (828) 262-0100
Fax: (828) 264-7592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39798 (NC)

Record details

NPI number1114038163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Hardee — Office Manager · (828) 262-0100
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 10, 2012
Mailing address579 Greenway Rd, Suite 200, Boone, NC 28607-4809

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