Colleen M Lawler-Bjornberg, MD

Key facts

NPI

1750370243

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

036-103133 (IL)

Practice address

1129 N Carbon St
Marion, IL 62959-1068

Phone

(618) 993-0002

Fax

(618) 997-5499

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

No

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.

• Community Health & Emergency Services, Inc Federally Qualified Health Center (FQHC) · Harrisburg, IL · NPI 1013976919
  Care Compare group NPD (past)
• Community Health & Emergency Services, Inc. Federally Qualified Health Center (FQHC) · Carbondale, IL · NPI 1316939929
  Care Compare group NPD (past)
• Community Health & Emergency Services, Inc. Federally Qualified Health Center (FQHC) · Cairo, IL · NPI 1710979588
  Care Compare group NPD (past)
• Community Health & Emergency Services, Inc Federally Qualified Health Center (FQHC) · Carmi, IL · NPI 1962632190
  Care Compare group
• Community Health & Emergency Services, Inc. Federally Qualified Health Center (FQHC) · Tamms, IL · NPI 1114919685
  Care Compare group
• Community Health & Emergency Services, Inc. Federally Qualified Health Center (FQHC) · Golconda, IL · NPI 1275525735
  Care Compare group
• Community Health & Emergency Services, Inc. Federally Qualified Health Center (FQHC) · Elizabethtown, IL · NPI 1568454130
  Care Compare group
• Dr. Elizabeth Lawler, M.D., S.C. Endocrinology, Diabetes & Metabolism Physician · Marion, IL · NPI 1457766545
  NPD (past)
• Dr. James T. Lawler M.D. S.C. Internal Medicine Physician · Marion, IL · NPI 1043698426
  NPD (past) INTERNAL MEDICINE

Hospital & facility affiliations 1

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

• Southern Illinois Hospital Services General Acute Care Hospital · Carbondale, IL · NPI 1093801797
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Northwestern University Feinberg Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health and Emergency Services Inc (12 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Carbondale Hospital · Carbondale, IL · CCN 140164

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/19431/brand/1/csg/1/fhir/r4
• Direct secure messaging: colleen.lawlerbjornberg.p1@direct.chesi.nextgenshare.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2009.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1750370243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1431",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629031431",
            "telephone_number": "618-457-8275",
            "fax_number": "618-997-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N CARBON ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591068",
            "telephone_number": "618-993-0002",
            "fax_number": "618-997-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER-BJORNBERG",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-103133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

• Melaina Marie Lane, MS, RD, LDN
• Sarah Langenstein, AA
• Tyrel Larsen
• Katrina Elizabeth Larson, AUD, CCC-A
• Michelle L Larson, RN
• Elizabeth Ellen Lawler, M.D.
• James T Lawler, M.D.
• Michael Patrick Lawler, MD
• Cari Layman-Yates
• Lori Ann Ledbetter

All providers in Marion, IL · Internal Medicine Physician in Illinois