Active NPI
Bruce M Wenig, M.D.
- Anatomic Pathology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- ME60205
- Practice address
- 12902 Usf Magnolia Drive
Moffitt Cancer Center - 2ND Floor, RM 2049
Tampa, FL 33612 - Phone
- (813) 745-2213
- Fax
- (813) 745-1708
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | ME60205 | FL | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 153567 | NY |
Addresses
Primary practice location
12902 Usf Magnolia Drive
Moffitt Cancer Center - 2ND Floor, RM 2049
Tampa, FL 33612
Mailing address
PO Box 198441 Moffitt Cancer Center - 2ND Floor RM 2049
Atlanta, GA 30384-8441
Phone (813) 745-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (888) 860-2778
Hospital & facility affiliations
- H Lee Moffitt Cancer Center & Research Institute I
Merit-based Incentive Payment System (MIPS)
- Final score
- 88 of 100
- Quality
- 74.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc | Current | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients | |
| Saint Lukes Roosevelt Hospital - Pathology Dept | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Montefiore Medical Center | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720
12902 Usf Magnolia Dr
Fl 2
Tampa, FL 33612
Phone (813) 745-2213
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Tampa, FL
- NPI 1306833595
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1801802137
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Anatomic Pathology & Clinical Pathology
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1821136979
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1578562575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198441 MOFFITT CANCER CENTER - 2ND FLOOR RM 2049",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848441",
"telephone_number": "813-745-7365",
"fax_number": "813-449-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12902 USF MAGNOLIA DRIVE",
"address_2": "MOFFITT CANCER CENTER - 2ND FLOOR, RM 2049",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-745-2213",
"fax_number": "813-745-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENIG",
"first_name": "BRUCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "FL",
"license": "ME60205",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "153567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.