Bobby Wilson Weisenberger, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

744 Issued in SC

Practice address

620 Long Point Rd Unit C
Mt Pleasant, SC 29464-8282

Phone

(843) 216-8822

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205844651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 HOYLAKE CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146863",
            "telephone_number": "843-766-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LONG POINT RD UNIT C",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648282",
            "telephone_number": "843-216-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBERGER",
        "first_name": "BOBBY",
        "middle_name": "WILSON",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elisabeth Wedekind, PA-C
• Kirstin Irene Weider, DO
• Bailey Kate Weightman, DDS
• Robert Meacham Weil, LPTA
• Charles A Weinheimer, M.D
• Lauren Lamendola Welling, PA-C
• Christopher Wells, MS, LPC-A
• Kerri O'Neill Wells, MS, OTR/L
• Thomas Henry Welsh Jr., DPT, CSCS
• Carolyn Anne Wenner, LPC

• Athletic Trainer in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.