It looked like my realtek audio drivers were a bit out of date but that update didn't seem to accomplish anything either (read something on the nvidia forums about those possibly causing issues).
I'm not sure what else I can try to change that effects my video card. I picked up EVGA precision to bump the fan speed up to keep temps down even more but that didn't change anything. I shouldn't be running into a problem with wattage since I'm only using 1 gtx 480 and a 750 watt power supply. Changing the card entirely didn't help at all and my card along with the other one are not overclocked.
Here's the most recent BSOD; the message still showed the nvidia driver when it happened but bluescreen view is showing 3 other drivers along with it.