NPIMap

Individual provider Active NPI

Neal Weisbrod

  • Neurology Physician
  • Mystic, CT
National Provider Identifier
1407199748
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
80116 Issued in CT
Practice address
100 Perkins Farm Dr Ste 303
Mystic, CT 06355-4041
Phone
(860) 886-1433
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 80116 CT Primary

Addresses

Primary practice location

100 Perkins Farm Dr Ste 303
Mystic, CT 06355-4041

Mailing address

1290 Silas Deane Highway
HHC - Cvo
Wethersfield, CT 06109

Other identifiers 1

IdentifierTypeStateIssuer
100086300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180807002308 FL Practitioner - NeurologyPractitioner - Hospice/Palliative Care 4486902418 Reassigns benefits to 1 organization
I20250213001093 CT Practitioner - Neurology 4486902418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Windham Community Memorial Hospital IncGroup PAC ID 2961309059, 67 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians

Practice addresses (Care Compare)

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

37 S Broad St
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital Family Medicine CurrentSince Feb 15, 2025 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Feb 15, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Neurology CurrentSince Feb 15, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Feb 15, 2025 Accepting new patients
William W Backus Hospital CurrentSince Feb 15, 2025 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

100 Perkins Farm Dr
Ste 303
Mystic, CT 06355
Phone (860) 886-1433

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1407199748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HIGHWAY",
            "address_2": "HHC - CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERKINS FARM DR STE 303",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063554041",
            "telephone_number": "860-886-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "NEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "80116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

Verify at the official NPI Registry.