Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Daniel Vandenberg, MD

Individual provider Surgery Physician · NPI 1699351338

Dr. Jonathan Daniel Vandenberg, MD is a Surgery Physician in Charlotte, North Carolina. Licensed in Florida and North Carolina. Registered with an NPI since 2021.

Licensed in
FL, NC
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2026-03583 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence TRN33392 (FL)

Record details

NPI number1699351338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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