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Active NPI 1699351338 Individual Practitioner Male Practitioner

Dr. Jonathan Daniel Vandenberg , MD

Surgery • Charlotte, NC

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Vandenberg, MD is a registered healthcare professional specializing in Surgery in Charlotte, NC. Practice services are available at 1000 BLYTHE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Blythe Blvd

Charlotte, NC 282035812

Telephone 7043552000
Associated Practice Facility / Clinic
🏢 Carolinas Medical Center Facility NPI 1295789907

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Charlotte, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
138 Specialists

Practicing in Charlotte, NC (1222 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 2026-03583

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL TRN33392

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Precious Woodward

Nurse Anesthetist, Certified Registered

NPI 1003604661
Alexandru Vlasin , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003654237

Certified Registered Nurse Anesthetist

NPI 1003804535

Doctor of Medicine (M.D.)

Dr. Kevin Black , DDS, MD

Emergency Medicine

NPI 1003995085

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Meredith Draper , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013289040

Certified Registered Nurse Anesthetist

Alison Woodruff , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013423722

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 08, 2026

Registered at 1000 BLYTHE BLVD, CHARLOTTE, NC 282035812 (Tel: 7043552000)

📍
Updated Business Mailing Address July 08, 2026

Registered at 1000 BLYTHE BLVD, CHARLOTTE, NC 282035812 (Tel: 7043552000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Surgery (License #2026-03583 in NC)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Surgery (License #TRN33392 in FL)

👤
Provider Name / Credentials Updated May 13, 2021

Recorded as JONATHAN VANDENBERG, MD

NPI Profile Active March 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2021

Registered at 4500 SAN PABLO RD, JACKSONVILLE, FL 32224 (Tel: 9049532000)

📍
Updated Business Mailing Address March 23, 2021

Registered at 4500 SAN PABLO RD, JACKSONVILLE, FL 32224 (Tel: 9049532000)

👤
Provider Name / Credentials Updated March 23, 2021

Recorded as JONATHAN VANDENBERG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699351338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2021
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

1000 Blythe Blvd

Charlotte, NC 282035812

Phone: 7043552000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.