Organization Active NPI

Sofia M Weigel MD PA

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1154839736
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J8413 Issued in TX
Legal business name
SOFIA M WEIGEL MD PA
Practice address
7929 Brookriver Dr Ste 180
Dallas, TX 75247-4920
Phone
(214) 525-0681
Fax
(972) 349-6595
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Sofia Weigel, MDNPI 1871680561
Title
Owner
Phone
(214) 525-0681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X J8413 TX Primary

Addresses

Primary practice location

7929 Brookriver Dr Ste 180
Dallas, TX 75247-4920

Mailing address

7929 Brookriver Dr Ste 180
Dallas, TX 75247-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180221000521 TX Part B Supplier - Clinic/Group Practice 6406117134 Receives reassigned benefits from 6 practitioners
Practice locations: Dallas, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

7929 Brookriver Dr
Ste 180
Dallas, TX 75247
Phone (214) 525-0681

2500 West Fwy
Ste 400
Fort Worth, TX 76102
Phone (214) 525-0681

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1154839736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 BROOKRIVER DR STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 BROOKRIVER DR STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474920",
            "telephone_number": "214-525-0681",
            "fax_number": "972-349-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA M WEIGEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "WEIGEL",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-525-0681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J8413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.