Active NPI
Brenda Weingarten, MD
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301406120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4834010 | Medicaid | MI | |
| 700F372090 | Other | MI | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Urgent Care | Current | Accepting new patients | |
| Basha Diagnostics P C | Diagnostic Radiology | Current | Accepting new patients |
| United Medical Surgical Specialists PLLC | Body Imaging | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Exclusive Physicians PLLC | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Southfield, MI
- NPI 1992671614
Body Imaging
-
- Multi-Specialty Clinic/Center
- Ferndale, MI
- NPI 1811226749
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Urgent Care Clinic/Center
- Detroit, MI
- NPI 1184389876
-
- Family Medicine Physician
- Hamtramck, MI
- NPI 1659145506
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Diagnostic Radiology
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Clinton Township, MI
- NPI 1598802936
Diagnostic Radiology
-
- Family Nurse Practitioner
- Bloomfield Hills, MI
- NPI 1740473396
-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1962478743
Body Imaging
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.