Brant G. Wenegrat, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G029885 Issued in CA

Practice address

701 Menlo Ave
Menlo Park, CA 94025-4703

Phone

(650) 380-1676

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 24, 2016 through Aug 24, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1114140480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 BROADVIEW LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017240",
            "telephone_number": "650-380-1676",
            "fax_number": "301-270-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MENLO AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254703",
            "telephone_number": "650-380-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENEGRAT",
        "first_name": "BRANT",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G029885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth David Weissman, MD
• Joanne Elizabeth Weith, RN
• Marilyn A Welch, RN
• Daniel Irvin Weller
• Li-Ren Delvaux Wen
• Joellen Werne, M.D.
• Duane Robert Westhoff, MSW
• Darrah Ann Westrup, PH.D.
• Lewis Wexler, MD
• Karen Yungjoo Whang, MD

• Specialist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.