THOMAS C SUNDBERG M.D. NPI 1063433456

NPI Information

NPI: 1063433456
Provider Name: THOMAS C SUNDBERG, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
4525 CAMERON VALLEY PKWY
SUITE 4100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 302-9300
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Thomas C Sundberg, M.D. is a rheumatology internal medicine in Charlotte, NC. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Thomas C Sundberg, M.D. NPI is 1063433456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4525 CAMERON VALLEY PKWY
SUITE 4100
CHARLOTTE, NC
ZIP 28211-378
Phone: (704) 302-9300
Fax: (704) 302-9301

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	25958	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	80105	OTHER	NORTH CAROLINA	BCBSNC
2	D62862	MEDICARE UPIN	NEW YORK
3	2074656	MEDICARE PIN	NORTH CAROLINA
4	202642M	MEDICARE PIN	NORTH CAROLINA
5	660003567	OTHER	NORTH CAROLINA	MEDICARE-RR
6	8980105	MEDICAID	NORTH CAROLINA
7	N25958	MEDICAID	SOUTH CAROLINA
8	1063433456	MEDICAID	NORTH CAROLINA
9	202642N	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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