Bradley Alan Weber, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34004205W Issued in OH

Practice address

7901 Schatz Pointe Dr
Dayton, OH 45459-3856

Phone

(937) 439-0390

Fax

(937) 439-7370

NPI assigned

Nov 23, 2005

Last updated

Jan 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Kettering Network Radiologists Inc

  • Diagnostic Radiology Physician
  • Kettering, OH
  • NPI 1346299153
  NPD (past)
• Medical Imaging Physicians Inc

  • Diagnostic Radiology Physician
  • Dayton, OH
  • NPI 1508847922
  NPD (past)
• Midstates Radiology Consultants

  • Diagnostic Radiology Physician
  • Dayton, OH
  • NPI 1326172115
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1205819125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 DEEP WOODS CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668777",
            "telephone_number": "937-554-7385",
            "fax_number": "937-554-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593856",
            "telephone_number": "937-439-0390",
            "fax_number": "937-439-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34004205W",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34-004205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0748196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Webb
• Sheri L Webb, RD,LD
• Zachary Webber
• Tammy A Weber-Gilbert, MS, LPCC
• Barbara L. Weber, LISW
• Chad Andrew Weber, D.O.
• Jessica Rose Weber, PHARMD
• Lisa L Weber, RN
• Marcia J. Weber, PSY.D.
• Tina Weber

• Diagnostic Radiology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.