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
859 Winter StLucedale, MS 39452-6603
Phone: (601) 947-3161
Fax: (601) 947-1331
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
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 |
| Mailing address | 4864 Jackson St, Family Medicine, Monroe, LA 71202-6400 |
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 |
Other providers in Lucedale
-
Benndale Elementary School
5204 Highway 26 W, Lucedale, MS 39452-2383 · (601) 766-6341
-
Cody Lynn Davis
92 Ratliff St, Lucedale, MS 39452-6537 · (601) 947-8181
-
Autumn Denise Edwards
283 Union Church Rd, Lucedale, MS 39452-6203 · (601) 770-3651
-
Steven Blakely Georgian
872 Winter St, Lucedale, MS 39452-5797 · (601) 673-4625
-
Lucedale Intermediate School
159 Mable St, Lucedale, MS 39452-5821 · (601) 947-6065