NPIMap

Individual provider Active NPI

Bruce Weiner, MD

  • Surgery Physician
  • Phoenixville, PA
National Provider Identifier
1083618870
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD037122E Issued in PA
Practice address
826 Main St
Mob II Ste 203
Phoenixville, PA 19460-4459
Phone
(610) 983-1980
Fax
(610) 422-5435
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD037122E PA Primary

Addresses

Primary practice location

826 Main St
Mob II Ste 203
Phoenixville, PA 19460-4459

Mailing address

826 Main St
Mob II Ste 203
Phoenixville, PA 19460-4459
Phone (610) 983-1980

Other identifiers 1

IdentifierTypeStateIssuer
478181OtherNJBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000856 PA Practitioner - General Surgery 4183680549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians

Practice addresses (Care Compare)

140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1000

826 Main St
Phoenixville, PA 19460-4459

Hospital & facility affiliations

  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy41
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC Surgery CurrentSince Nov 1, 2010 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 1, 2010 Accepting new patients
Advanced Dermatology of Pennsylvania, PC PastSince Jul 28, 2015 Accepting new patients
Able Medical Equipment Co Past Accepting new patients
Andrew K Pollack Past Accepting new patients

Locations

826 Main St
Ste 203
Phoenixville, PA 19460
Phone (610) 983-1545

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1083618870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "address_2": "MOB II STE 203",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-983-1980",
            "fax_number": "610-422-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "address_2": "MOB II STE 203",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-983-1980",
            "fax_number": "610-422-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD037122E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "478181",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.