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Blue Ridge Medical Management

Internal Medicine Physician in Lebanon, VA · enumerated 2015 · authorized official Carl Kilgore, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790167351

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management
Other name <Unavail>
Practice address 58 Carroll Street, Suite 2d, Lebanon, VA, 24266
Fax (276) 883-8090
Enumeration date Jun 19, 2015
Last updated in NPPES May 2, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Carl Kilgore
Title President

Other identifiers

Identifier Type State Issuer
020487828 Other VA DEPARTMENT OF LABOR
1790167351 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Blue Ridge Medical Management?
NPPES lists Carl Kilgore (President) as the authorized official for this organization.
What is the NPI number for Blue Ridge Medical Management?
The NPI for Blue Ridge Medical Management is 1790167351, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-02.