Active NPI
Christian Olof Bengtson, MD
- Family Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME150830
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Baycare Home Care Inc
- St Josephs Hospital
- Morton Plant Hospital
- St Anthonys Hospital
- Mease Countryside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150830 | FL | MD | Family Medicine Physician |
| MD465416 | PA | MD | Family Medicine Physician |
| MT210797 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Baycare Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| York Hospital | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Baycare Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | 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
- 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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- General Practice Physician
- New Port Richey, FL
- NPI 1629514070
Family Medicine
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Pain Medicine Physician
- York, PA
- NPI 1518475029
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1114885480
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Largo, FL
- NPI 1033117007
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.