Individual provider Active NPI

Christopher Everett Blunden, MD

  • Pediatric Endocrinology Physician
  • Charlotte, NC
National Provider Identifier
1073958724
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
2025-00959 Issued in NC
Practice address
4501 Cameron Valley Pkwy Ste 200
Charlotte, NC 28211-4382
Phone
(704) 512-3636
Fax
(704) 364-1387
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 191556 NC
Pediatric Endocrinology Physician 2080P0205X 311379 LA
Pediatric Endocrinology Physician 2080P0205X 128028 OH
Pediatric Endocrinology Physician 2080P0205X 2025-00959 NC Primary

Addresses

Primary practice location

4501 Cameron Valley Pkwy Ste 200
Charlotte, NC 28211-4382

Mailing address

4501 Cameron Valley Pkwy Ste 200
Charlotte, NC 28211-4382
Phone (704) 512-3636

Other practice location 1

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

Other practice location 2

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

Other practice location 3

1315 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210223000897 MI Practitioner - Pediatric Medicine 2668708017 Reassigns benefits to 1 organization
I20250901000194 NC Practitioner - Pediatric Medicine 2668708017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Childrens Specialty Network IncGroup PAC ID 5092234187, 15 clinicians

Practice addresses (Care Compare)

4501 Cameron Valley Pkwy
Charlotte, NC 28211-4297
Phone (704) 512-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191556NCMDPediatrics Physician
311379LAMDPediatric Endocrinology Physician
2025-00959NCMDPediatric Endocrinology Physician
128028OHMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Feb 1, 2021 Accepting new patients
Pediatric Endocrinology & Diabetes Specialists Pediatric Endocrinology CurrentSince Sep 3, 2025 Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Aug 11, 2025 Accepting new patients
University Pediatricians Pediatrics CurrentSince Feb 1, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Aug 11, 2025 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Pediatric Endocrinology & Diabetes Specialists Pediatric Endocrinology PastSince Sep 3, 2025 Accepting new patients
Atrium Health Childrens Specialty Network Inc Pediatrics Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3950 Beaubien St
Detroit, MI 48201
Phone (313) 745-5437

4501 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 365-0760

4501 Cameron Valley Pkwy
Ste 200
Charlotte, NC 28211
Phone (704) 512-5836

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

Interoperability endpoints

  • Direct secure messaging: cblunden2991098@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1073958724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 CAMERON VALLEY PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114382",
            "telephone_number": "704-512-3636",
            "fax_number": "704-364-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CAMERON VALLEY PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114382",
            "telephone_number": "704-512-3636",
            "fax_number": "704-364-1387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70121",
            "country_code": "US",
            "telephone_number": "504-842-3900",
            "fax_number": "504-842-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUNDEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "191556",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "LA",
            "license": "311379",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "OH",
            "license": "128028",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NC",
            "license": "2025-00959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.