I have swapped an NV-4500 behind a BB into my 83 C-10. It has yet to hit the road but am close. The swap was easy but I had all the sheet metal off so it will be a tad more difficult with it all on. You will have to get a different bell housing as the trans to BH bolt pattern is different. I got mine from AdvancedAdaptors by way of Summit Racing for around $400. If you are running mechanical clutch linkage you will also need a $27 AA ( Summit also) part to make it work as the ball connection boss on the BB is too far forward for the stock assembly to hook up correctly. Even with that adapter I had to lengthen the adjuster linkage from the bell crank to the clutch/throw out bearing lever. You will also have to move your original transmission mount back and do some minor trimming as this trans is longer. Also be sure you get a GM tranny from a 92 to 07 3/4 or 1T as Dodge offered the same NV -4500 but with a longer and different splined input shaft and a different out put set up. GM used a ujoint yoke, Dodge used a splined yoke. Also the GM version has no connection for a mechanical speedo cable but uses a VSS signal to run an electrical speedo. I bought a " Reverse" adapter from Dakota Digital ( EC-100 ) $300, that takes the pulses from the trans sender to run an electric motor in the unit. They also supply a shorter mechanical speedo cable with either the srcew on end or the clamp on end depending on which type speedo you have,
Good luck finding a salvage yard NV-4500. They are not made anymore and most of the available salvage yard units have been bought up by commercial rebuilders. I bought mine from Nogalitos Gear in San Antonio. All in all it's gonna set you back about $3500 for the swap. It wasn't that much for me but I already had the flywheel, pressure plate, clutch disc and throw out bearing. You'll also have to get a high hump trans cover and cut out the floor board for it
I also swapped in an Eaton psi unit to the rear end with 3:73 gears so with the .73 ratio 5th gear the final drive should be around 2:72. Should help with the BB ......maybe go from 7 mpg to 9 mpg

Hope this helps. Will report back in a couple weeks when the truck is drivable.