Individual provider · Type 1 NPI

Jeffrey Tyler Balkenbush, MD

Family Medicine Physician · Charlotte, NC

NPI number 1376122028 Active

Practice location

9101 Monroe Rd Ste 155
Charlotte, NC 28270-2467

Fax (704) 384-1289

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 900 NE 10th St, Oklahoma City, OK 73104-5420 · (405) 271-8818
  • 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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X43195 (OK)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X2025-02357 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1376122028

Jeffrey Tyler Balkenbush, MD's National Provider Identifier is 1376122028, issued on Apr 7, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 11, 2025.