Blue Mountain Medicine PLLC
NPI 1245669662ActiveOrganization· General Practice· Brevard, NC
General Practice in Brevard, North Carolina, registered in NPPES in November 2013. The authorized official on file is Anthony L. Fisher, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245669662 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2013 |
| Last updated in NPPES | Dec 30, 2019 |
| Certified by provider | Dec 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 9701350 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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