Providers
Update your name or practice information
Participating practitioners, groups, and facilities can update essential contact details to ensure compliance and accurate directory listings.
Before you begin
Be sure to keep these requirements in mind. We cannot process incomplete submissions.
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Gather information
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You will need:
- Practitioner name(s) and NPI(s)
- Tax identification number (TIN)
- Practice location(s)
- Medicare number if applicable
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Use a practice email address
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Send requests using your official practice email address.
We can't accept requests sent from personal accounts.
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Plan ahead
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Requests are processed in 10-30 business days.
Please submit name and location change requests ahead of time to avoid delays.
Request a name change
Submit requests to update legal name changes to ensure accurate records and compliance.
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For practitioners
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- Create a formal request on official letterhead from your practice.
- Email request letter and a copy of medical license to the Provider Updates team at ProviderUpdates@bcbsnc.com.
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For groups or facilities
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- Complete a provider demographic change form (PDF).
- Complete a W-9 (PDF).
- Email the completed change form and W-9 to the Provider Updates team at ProviderUpdates@bcbsnc.com.
Change or add a practice location
Request to add or update a practice location to ensure patients can find your services.
Complete a demographic change form
Please complete the demographic change form. Make sure to specify whether the change applies to:
- Physical address
- Billing address
- Contract notice address
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Include practitioner roster
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If you have a change in your roster, including terminations, please include a list of all practitioners who are part of the location change indicated on the form.
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Submit change form before effective date
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Submit all location change forms at least 30 days before the effective date of the location change to ProviderUpdates@bcbsnc.com.