Brooke H Weidig, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06371 Issued in TX

Practice address

23330 Highway 59 N
Kingwood, TX 77339-4471

Phone

(281) 359-3223

Fax

(281) 359-2089

NPI assigned

May 28, 2006

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: brooke.weidig.1@30157.direct.athenahealth.com

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1386691905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDIG",
        "first_name": "BROOKE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooke.weidig.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23330 Highway 59 N",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773394471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Physician Assistant in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.