FREDRIC C. KULLBERG M.D. NPI 1912010273

NPI Information

  • NPI: 1912010273
  • Provider Name: FREDRIC C. KULLBERG, M.D.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 535 ROXBURY RD
    SUITE B600
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 397-7212

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NPI Details

Fredric C. Kullberg, M.D. is a pulmonary disease internal medicine in Rockford, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Fredric C. Kullberg, M.D. NPI is 1912010273. 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:

535 ROXBURY RD
SUITE B600
ROCKFORD, IL
ZIP 61107-076
Phone: (815) 397-7212
Fax: (815) 397-2539

The NPI 1912010273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 5/4/2016.

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
1207RP1001XInternal MedicinePulmonary Disease036 062004ILLINOISYes

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
1101 00574OTHERILLINOISBLUE CROSS BLUE SHIELD
2K38193MEDICARE PINILLINOIS
3036 062004MEDICAIDILLINOIS
4290000247OTHERILLINOISRAILROAD MEDICARE
5C45330MEDICARE UPINILLINOIS
6666470MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/21/2025

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