Mark Andrew Weisbrod, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

46910 Issued in CO

Practice address

2920 N Cascade Ave
Colorado Springs, CO 80907-6262

Phone

(719) 636-3937

NPI assigned

Jun 14, 2007

Last updated

Sep 3, 2008By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Minnesota Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates PAGroup PAC ID 8729000435, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mweisbrod@eyecareassoc.intellechartdirect.net

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.

• Eye Care Associates PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1205943214
  Medicare reassignment Care Compare group NPD
• James Lee MD PC

  dba Lee Eye Institute

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1144427899
  Medicare reassignment NPD
• Eye Clinic of Faribault PA

  dba Richie Eye Clinic

  • Clinic/Center
  • Faribault, MN
  • NPI 1831154681
  Medicare reassignment NPD
• North Memorial Health Care

  dba North Memorial Health Hospital

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Medicare reassignment NPD
• Centracare Clinic

  dba CentraCare - River Campus Clinic

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1043212665
  NPD
• Centracare Clinic

  dba CentraCare Occupations Health

  • Occupational Medicine Clinic/Center
  • Saint Cloud, MN
  • NPI 1366192759
  NPD
• Centracare Clinic

  dba CentraCare - Cold Spring Clinic

  • Primary Care Clinic/Center
  • Cold Spring, MN
  • NPI 1881116747
  NPD
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552
  NPD
• North Memorial Health Care

  dba North Memorial Health Specialty Clinic

  • Medical Specialty Clinic/Center
  • Robbinsdale, MN
  • NPI 1871927715
  NPD
• University of Miami

  dba UMiami Medicine - Ophthalmology (Naples Bascom Palmer - ASC)

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1295279586
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1316141914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "BP1-0018217",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME99294",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "46910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Martin Weinstein, M.D.
• Tory Weinstein, OTR/L
• Benjamin G Weir, DDS
• Patrick Weir
• Nicole Danielle Weis
• Maria Daniela Weise-Fleckenstein, MD
• David Carl Weisel II
• Abby Weiske
• Rachel Weiskittle, PHD
• Alissa Weisman

• Ophthalmology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.