Christopher Shane Blomberg, MD, MS
Christopher Shane Blomberg, MD, MS is a Family Practice in Lucedale, Mississippi. Graduated from Louisiana State University School of Medicine in Shreveport in 2017, 9 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group, works from 3 locations and offers telehealth. Licensed in Mississippi.
- Years since qualifying
- 9
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- MS
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
Lucedale, MSNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 4864 Jackson St, Monroe, LA 71202-6400 — (318) 330-7650
- 92 Ratliff St, Lucedale, MS 39452-6537 — (601) 947-8181
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 25078 (MS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1982023149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , MS |
| Sole proprietor | No |
| NPI enumerated | April 15, 2014 |
| Last updated in NPPES | July 21, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2017 (9 years in practice) |
| Group practice | Memorial Hospital At Gulfport — 470 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
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