Active NPI
Gottskalk Bjornsson, MD
- Pulmonary Disease Physician
- Jacksonville, NC
National Provider Identifier
1376974485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0098-01599
- Practice address
- 363 Creedmoor Rd
Jacksonville, NC 28546-6035 - Phone
- (910) 330-1050
- NPI assigned
- Nov 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0098-01599 | NC | Primary |
Addresses
Primary practice location
363 Creedmoor Rd
Jacksonville, NC 28546-6035
Mailing address
363 Creedmoor Rd
Jacksonville, NC 28546-6035
Phone (910) 330-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0098-01599 | NC | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385683200000",
"number": "1376974485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 CREEDMOOR RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466035",
"telephone_number": "910-330-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 CREEDMOOR RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466035",
"telephone_number": "910-330-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORNSSON",
"first_name": "GOTTSKALK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-29",
"last_updated": "2013-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "0098-01599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.