Individual provider Active NPI

Richard L Weiner, M.D.

  • Neurological Surgery Physician
  • Texarkana, TX
National Provider Identifier
1093701872
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
F9059 Issued in TX
Practice address
2604 Saint Michael Dr Ste 237
Texarkana, TX 75503-2378
Phone
(903) 614-5180
NPI assigned
Sep 27, 2005
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G43862 CA
Neurological Surgery Physician 207T00000X F9059 TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr Ste 237
Texarkana, TX 75503-2378

Mailing address

7004 Clearwell LN
Plano, TX 75024-7486
Phone (972) 653-2615

Other practice location 1

1003 E Brier Dr
San Bernardino, CA 92408-2817
Phone (909) 382-7100

Other identifiers 1

IdentifierTypeStateIssuer
129594105MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101220000872 TX Practitioner - Neurosurgery 3870552441 Reassigns benefits to 2 organizations
I20251209004389 CA Practitioner - Neurosurgery 3870552441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac Health SystemGroup PAC ID 4385533579, 222 clinicians

Practice addresses (Care Compare)

1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43862CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Neurosurgical Associates, P.a. CurrentSince Apr 12, 1987 Accepting new patients
Faculty Physicians and Surgeons of Llusm Neurological Surgery Current Accepting new patients
Sac Health System CurrentSince Apr 17, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 16, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 16, 2026 Accepting new patients
Sac Health System CurrentSince Apr 17, 2026 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Christus Trinity Clinic Texas Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1003 E Brier Dr
San Bernardino, CA 92408

7515 Greenville Ave
Ste 200
Dallas, TX 75231
Phone (214) 445-6970

8230 Walnut Hill Ln
Ste 220
Dallas, TX 75231
Phone (214) 345-8692

6101 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (214) 750-3646

Interoperability endpoints

  • Direct secure messaging: richard.weiner.1@13131.direct.athenahealth.com

Organizations & group practices 12

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

Hospital & facility affiliations 2

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1093701872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 CLEARWELL LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247486",
            "telephone_number": "972-653-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 237",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 E Brier Dr",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082817",
            "country_code": "US",
            "telephone_number": "909-382-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINER",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G43862",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "F9059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129594105",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.