Active NPI
Brian Aaron Weisenberg, M.D.
- Emergency Medicine Physician
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2008002490
- Practice address
- 300 1St Capitol Dr
Saint Charles, MO 63301 - Phone
- (636) 947-5111
- NPI assigned
- Mar 21, 2007
- Last updated
- Jun 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2008002490 | MO | Primary |
Addresses
Primary practice location
300 1St Capitol Dr
Saint Charles, MO 63301
Mailing address
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5111
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
Other practice location 2
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Aco Clinical Services Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Hospital South | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| SSM Health Care St. Louis | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2708 S Rife Medical Ln
Ste T30
Rogers, AR 72758
Phone (479) 338-3999
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Organizations & group practices 11
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.
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1104223288
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1447699434
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1093831042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012844",
"telephone_number": "636-947-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-947-5111"
}
],
"practiceLocations": [
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISENBERG",
"first_name": "BRIAN",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2008002490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.