Bruce Gilbert Weniger, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

164856-1205 Issued in UT

Practice address

1737 Crestline CT NE
Atlanta, GA 30345-3814

Phone

(404) 634-1089

NPI assigned

Oct 14, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1285919845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CRESTLINE CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453814",
            "telephone_number": "404-634-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 CRESTLINE CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453814",
            "telephone_number": "404-634-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENIGER",
        "first_name": "BRUCE",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "UT",
            "license": "164856-1205",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "GFE47172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendys Garden Plant Grow Flourish LLC
• Margot E Weneck, CNP
• Robert G Wener, MD
• Mark Weng, MD
• Nanette Kass Wenger, M.D.
• Fyama Patrice Wenner, M.D.
• Elaine Trieu Wenstrom, MD, MPH
• Mark A. Wentworth, AT-C
• Maya Balaban Wergeles
• Anne E Werkheiser

• Public Health & General Preventive Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Public Health & General Preventive Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.