Individual provider Active NPI

Christian Olof Bengtson, MD

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1215326921
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME150830 Issued in FL
Practice address
6801 4TH St N
St Petersburg, FL 33702-6844
Phone
(727) 822-3238
Fax
(727) 823-1278
NPI assigned
Jan 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT210797 PA
Family Medicine Physician 207Q00000X MD465416 PA
Family Medicine Physician 207Q00000X ME150830 FL Primary

Addresses

Primary practice location

6801 4TH St N
St Petersburg, FL 33702-6844

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

1001 S George St
York Hospital
York, PA 17403-3676
Phone (717) 851-2521

Other practice location 2

2960 E Market St
York, PA 17402-2414
Phone (717) 751-2483

Other practice location 3

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christian.bengtson@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20181009000946 PA Practitioner - Family Practice 8729363676 Reassigns benefits to 2 organizations
I20220228001400 FL Practitioner - Family Practice 8729363676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians

Practice addresses (Care Compare)

10799 Park Blvd
Seminole, FL 33772-5420
Phone (727) 315-5239

13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150830FLMDFamily Medicine Physician
MD465416PAMDFamily Medicine Physician
MT210797PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Mar 16, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Mar 16, 2020 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Feb 24, 2022 Accepting new patients
York Hospital Current Accepting new patients
York Hospital CurrentSince Jul 1, 2019 Accepting new patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Feb 24, 2022 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

10799 Park Blvd
Seminole, FL 33772
Phone (727) 319-0180

6801 4th St N
St Petersburg, FL 33702
Phone (727) 822-3238

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

1001 S George St
York, PA 17403
Phone (717) 812-7687

1001 S George St
Bldg Mkb
York, PA 17403
Phone (717) 851-2521

2149 S Queen St
York, PA 17403
Phone (717) 356-4460

2250 E Market St
York, PA 17402
Phone (717) 812-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: christian.bengtsonmd@direct.mybaycare.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1215326921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026844",
            "telephone_number": "727-822-3238",
            "fax_number": "727-823-1278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_2": "York Hospital",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2521",
            "fax_number": "717-851-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022414",
            "country_code": "US",
            "telephone_number": "717-751-2483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174011474",
            "country_code": "US",
            "telephone_number": "717-845-8617",
            "fax_number": "717-854-0377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "CHRISTIAN",
        "middle_name": "OLOF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT210797",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD465416",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christian.bengtson@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.