Colleen M Lawler-Bjornberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-103133 Issued in IL

Practice address

1129 N Carbon St
Marion, IL 62959-1068

Phone

(618) 993-0002

Fax

(618) 997-5499

NPI assigned

Oct 17, 2005

Last updated

Dec 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

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 IncGroup PAC ID 0749194702, shared by 7 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

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

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.

• Community Health & Emergency Services, Inc

  dba Harrisburg Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, IL
  • NPI 1013976919
  NPD (past)
• Community Health & Emergency Services, Inc.

  dba Cedar Court Clinic

  • Federally Qualified Health Center (FQHC)
  • Carbondale, IL
  • NPI 1316939929
  NPD (past)
• Community Health & Emergency Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cairo, IL
  • NPI 1710979588
  NPD (past)
• 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)

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

• Southern Illinois Hospital Services

  dba Memorial Hospital of Carbondale

  • General Acute Care Hospital
  • Carbondale, IL
  • NPI 1093801797
  Care Compare affiliation

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• 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

• Internal Medicine Physician in Marion, IL
• Providers in Marion, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.

Verify at the official NPI Registry.