Individual
DR. JONATHAN DANIEL VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2026-03583
NC
208600000X
Surgery Physician
TRN33392
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
07/08/2026
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