Bryan Monty Weckel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9901353 Issued in NC

Practice address

310 S Bennett St
Burgaw, NC 28425-5048

Phone

(910) 259-1718

Fax

(910) 259-9929

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Family Practice

Education

Wake Forest University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Nhrmc Home Care Home health agency, Rocky Point, NC, CCN 347065
• Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15494/brand/1/csg/1/fhir/r4

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.

• Bryan Weckel MD Family Medicine PLLC

  • Family Medicine Physician
  • Burgaw, NC
  • NPI 1194736561
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nhrmc Home Care

  • Home Health Agency
  • Rocky Point, NC
  • NPI 1144548405
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1295703130
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  • Medicare Defined Swing Bed Hospital Unit
  • Burgaw, NC
  • NPI 1780653865
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508877952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284251266",
            "telephone_number": "910-259-1718",
            "fax_number": "910-259-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S BENNETT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255048",
            "telephone_number": "910-259-1718",
            "fax_number": "910-259-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKEL",
        "first_name": "BRYAN",
        "middle_name": "MONTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9901353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130TE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Harrell Vivlamore, M.S., CCC-SLP
• Wal-Mart Stores East LP
• Walgreen Co
• Michael Walton, LCAS
• Warsaw RX LLC
• Hannah Weise
• Brianna Little Wells, LCSW
• Haley Elizabeth Welsh
• Williams Group Home, Inc.
• Garland Bruce Williams Jr., FNPC

• Family Medicine Physician in Burgaw, NC
• Providers in Burgaw, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.