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

Jeffrey Tyler Balkenbush, MD

Individual provider Family Medicine Physician · NPI 1376122028

Jeffrey Tyler Balkenbush, MD is a Family Practice in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and Oklahoma.

Years since qualifying
6
Licensed in
NC, OK
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

9101 Monroe Rd Ste 155
Charlotte, NC 28270-2467
Phone: (704) 384-1260
Fax: (704) 384-1289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Childrens Way # 512, Little Rock, AR 72202-3500 — (202) 364-1874
  • 4301 W Markham St # 530, Little Rock, AR 72205-7101 — (501) 686-6560
  • 900 Ne 10th St, Oklahoma City, OK 73104-5420 — (405) 271-8818

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025-02357 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 43195 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376122028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 7, 2021
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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