Organization
BROAD RIVER AREA MEDICAL AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D. GREEN PA (OWNER/PA)
(828) 657-5722
Entity
Organization
Contact information
Practice address
245 OLD MAIN STREET, CLIFFSIDE, NC 28024-0275
(828) 657-5722
(828) 657-5738
Mailing address
PO BOX 275, 245 OLD MAIN ST, CLIFFSIDE, NC 28024-0275
(828) 657-5722
(828) 657-5738
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1177X
BCBS
—
05
—
891177X
—
NC
Enumeration date
06/16/2006
Last updated
02/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us