Bryan Weckel MD Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRYAN WECKEL MD FAMILY MEDICINE PLLC

Practice address

310 S Bennett St
Burgaw, NC 28425-5048

Phone

(910) 259-1718

Fax

(910) 259-9929

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Monty Weckel, M.D.NPI 1508877952

Title

Owner

Phone

(910) 259-1718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15494/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Bryan Monty Weckel, M.D.

  • Family Medicine Physician
  • Burgaw, NC
  • NPI 1508877952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1194736561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284251266",
            "telephone_number": "910-259-1718",
            "fax_number": "910-259-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S BENNETT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255048",
            "telephone_number": "910-259-1718",
            "fax_number": "910-259-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN WECKEL MD FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WECKEL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MONTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-259-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ann Blake, ATS
• Matthew La Toura Boney, ESQ
• Monique Cecillia Boyd
• Michelle Lauren Brand, CCC-SLP
• Michael Brown, PHARMD
• Megan Sarah Buchheister, RD, LDN
• Burgaw Eye Center, O.D., P.a.
• Burgaw Health Holdings, LLC
• Burgaw Medical Center
• Campbell Health & Rehab Center, LLC

• Family Medicine Physician in Burgaw, NC
• Providers in Burgaw, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.