NPIMap

Individual provider Active NPI

Gregory John Weisbruch, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1215980040
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G8496 Issued in TX
Practice address
3500 Gaston Avenue
Dallas, TX 75246
Phone
(214) 826-8822
Fax
(214) 826-9792
NPI assigned
May 19, 2006
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G8496 TX Primary

Addresses

Primary practice location

3500 Gaston Avenue
Dallas, TX 75246

Mailing address

3206 4TH St
Longview, TX 75605-5143
Phone (903) 663-4800

Other identifiers 3

IdentifierTypeStateIssuer
139986726MedicaidTX
139986729MedicaidTX
139986727MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000161 TX Practitioner - Diagnostic Radiology 2163326448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince May 23, 2002 Accepting new patients
Btdi JV, LLP CurrentSince May 1, 2022 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
BMB Associates LLC CurrentSince Jan 1, 2018 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince May 23, 2002 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2022 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2022 Accepting new patients
Blue Stone JV LLP CurrentSince May 1, 2022 Accepting new patients
Breast Care Specialists of Oklahoma, LLC Diagnostic Radiology Past Accepting new patients
River City Imaging Centers LLC PastSince May 9, 2021 Accepting new patients
Texas Oncology PA Past Accepting new patients
Healthtexas-Med Provider Past Accepting new patients

Locations

3409 Worth St
Ste 320
Dallas, TX 75246
Phone (214) 820-2430

3409 Worth St
Ste 410
Dallas, TX 75246
Phone (214) 820-6544

3500 Gaston Ave
Dallas, TX 75246

712 N Washington Ave
Ste 101
Dallas, TX 75246
Phone (214) 826-8822

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7777 Forest Ln
Ste D100
Dallas, TX 75230

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Interoperability endpoints

  • Direct secure messaging: gweisbruch@direct.uspi.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1215980040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBRUCH",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G8496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139986726",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139986729",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139986727",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.