Individual provider Active NPI

Brenda Weingarten, MD

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1417905050
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301406120 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(313) 916-7425
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 4301406120 MI
Diagnostic Ultrasound Physician 2085U0001X 4301406120 MI
Diagnostic Radiology Physician 2085R0202X 4301406120 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone (313) 916-7425

Other practice location 1

29829 Telegraph Road
Suite L103
Southfield, MI 48034-1376
Phone (248) 352-9525

Other identifiers 2

IdentifierTypeStateIssuer
4834010MedicaidMI
700F372090OtherMIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20050803000569 MI Practitioner - Diagnostic Radiology 7719915321 Reassigns benefits to 6 organizations
I20231203000132 FL Practitioner - Diagnostic Radiology 7719915321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians
United Medical Surgical Specialists PLLCGroup PAC ID 6608350699, 3 clinicians

Practice addresses (Care Compare)

13935 Old Coast Rd
Unit 503
Naples, FL 34110-8770
Phone (248) 353-5651

29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1376
Phone (248) 336-4000

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
United Medical Surgical Specialists PLLC Body Imaging CurrentSince Jan 21, 2026 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Exclusive Physicians PLLC CurrentSince Jun 10, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Cardiology and Vascular Associates PC Past Accepting new patients
Cardiology and Vascular Associates PC Body Imaging Past Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

29829 Telegraph Rd
Ste L103
Southfield, MI 48034
Phone (248) 352-9525

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

13753 19 Mile Rd
Sterling Hts, MI 48313
Phone (586) 566-8680

Interoperability endpoints

  • Direct secure messaging: bweingarten428204@direct.hfhs.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1417905050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022689",
            "telephone_number": "313-916-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-916-7425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29829 Telegraph Road",
            "address_2": "Suite L103",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341376",
            "country_code": "US",
            "telephone_number": "248-352-9525",
            "fax_number": "248-357-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINGARTEN",
        "first_name": "BRENDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MI",
            "license": "4301406120",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MI",
            "license": "4301406120",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301406120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4834010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F372090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.