Individual provider Active NPI

Christopher James Lundberg, D.O.

  • Emergency Medicine Physician
  • Pinehurst, NC
National Provider Identifier
1689021362
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2020-00882 Issued in NC
Practice address
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone
(910) 715-1000
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2020-00882 NC Primary

Addresses

Primary practice location

155 Memorial Dr
Pinehurst, NC 28374-8710

Mailing address

PO Box 3000
Pinehurst, NC 28374-3000
Phone (910) 715-1000

Other practice location 1

520 Allen St
Troy, NC 27371-2802
Phone (910) 571-5000

Other practice location 2

925 S Long Dr
Rockingham, NC 28379-4835
Phone (910) 417-3000

Other practice location 3

6408 Fayetteville Rd
Raeford, NC 28376-7977
Phone (910) 878-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200526001297 NC Practitioner - Emergency Medicine 5294156402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
81.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00882NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Emergency Physicians PA CurrentSince May 1, 2020 Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1689021362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283743000",
            "telephone_number": "910-715-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Allen St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NC",
            "postal_code": "273712802",
            "country_code": "US",
            "telephone_number": "910-571-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 S Long Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283794835",
            "country_code": "US",
            "telephone_number": "910-417-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6408 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283767977",
            "country_code": "US",
            "telephone_number": "910-878-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2020-00882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.