Christina R Bjornstad, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

M3283 Issued in ID

Practice address

625 6TH Ave
Lewiston, ID 83501-9999

Phone

(208) 743-8226

Fax

(208) 746-2069

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2008.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1003866765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835019999",
            "telephone_number": "208-743-8226",
            "fax_number": "208-746-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835019999",
            "telephone_number": "208-743-8226",
            "fax_number": "208-746-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNSTAD",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "ID",
            "license": "M3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083807",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Anne Bieler, PHARMD
• Tami Rachele Biery, MPT
• Geneen E Bigsby, DO
• Travis Bingman
• Traci L Birdsell, PHD
• Marshall R Black, CPO
• Heather Blazier, RD, LD
• Ingrid Starr Blinn, M.A., L.P.C.
• Michael Stuart Blue, DO
• Jerilyn R Bodey, FNP-C

• All providers in Lewiston, ID
• Adult Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.