Individual provider Active NPI

Edward Bruce Weiser, M.D.

  • Gynecologic Oncology Physician
  • Atlanta, GA
National Provider Identifier
1528018082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
GA33483 Issued in GA
Practice address
1938 Peachtree Rd NW
Suite #610
Atlanta, GA 30309-1267
Phone
(404) 605-2100
Fax
(404) 609-6854
NPI assigned
May 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X GA33483 GA Primary

Addresses

Primary practice location

1938 Peachtree Rd NW
Suite #610
Atlanta, GA 30309-1267

Mailing address

1938 Peachtree Rd NW
Suite #610
Atlanta, GA 30309-1267
Phone (404) 605-2100

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA33483GAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Gynecologic Oncology, LLC Gynecologic Oncology PastSince Nov 20, 2003 Accepting new patients
Piedmont Healthcare Inc PastSince Feb 3, 2010 Accepting new patients
Piedmont Providers LLC PastSince Mar 27, 2006 Accepting new patients
Piedmont Surgical Associates LLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528018082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 PEACHTREE RD NW",
            "address_2": "SUITE #610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091267",
            "telephone_number": "404-605-2100",
            "fax_number": "404-609-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 PEACHTREE RD NW",
            "address_2": "SUITE #610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091267",
            "telephone_number": "404-605-2100",
            "fax_number": "404-609-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISER",
        "first_name": "EDWARD",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "GA",
            "license": "GA33483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.