Active NPI
Christian Gerald Schrock, MD
- Infectious Disease Physician
- Minneapolis, MN
National Provider Identifier
1467546549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 21961
- Practice address
- 5700 Bottineau Blvd
Suite 270
Minneapolis, MN 55429-3183 - Phone
- (763) 520-4320
- Fax
- (763) 520-7055
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 21961 | MN | Primary |
Addresses
Primary practice location
5700 Bottineau Blvd
Suite 270
Minneapolis, MN 55429-3183
Mailing address
5700 Bottineau Blvd
Suite 270
Minneapolis, MN 55429-3183
Phone (763) 520-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 866283500 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21961 | MN | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1467546549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD",
"address_2": "SUITE 270",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554293183",
"telephone_number": "763-520-4320",
"fax_number": "763-520-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD",
"address_2": "SUITE 270",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554293183",
"telephone_number": "763-520-4320",
"fax_number": "763-520-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROCK",
"first_name": "CHRISTIAN",
"middle_name": "GERALD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": "21961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "866283500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.