Individual provider Active NPI

Brandon Aaron Weintraub, AP

  • Acupuncturist
  • Gainesville, FL
National Provider Identifier
1467901041
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3708 Issued in FL
Practice address
4509 NW 23Rd Ave
Suite 19B
Gainesville, FL 32606-6570
Phone
(352) 587-0587
NPI assigned
Sep 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3708 FL Primary

Addresses

Primary practice location

4509 NW 23Rd Ave
Suite 19B
Gainesville, FL 32606-6570

Mailing address

3324 W University Ave # 344
Gainesville, FL 32607-2540
Phone (352) 587-0587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP3708FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1467901041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 W UNIVERSITY AVE # 344",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072540",
            "telephone_number": "352-587-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 NW 23RD AVE",
            "address_2": "SUITE 19B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066570",
            "telephone_number": "352-587-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "BRANDON",
        "middle_name": "AARON",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.