Individual provider Active NPI

Richard Brian Weisberg, D.O.

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1598730608
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0006866 Issued in FL
Practice address
1141 SE Indian St Ste 101
Stuart, FL 34997-5764
Phone
(772) 221-7789
Fax
(772) 221-8584
NPI assigned
Feb 22, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0006866 FL Primary

Addresses

Primary practice location

1141 SE Indian St Ste 101
Stuart, FL 34997-5764

Mailing address

3511 SE Willoughby Blvd
Stuart, FL 34994-5059
Phone (772) 221-7789

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000163 FL Practitioner - Family Practice 1658449111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1141 SE Indian St
Stuart, FL 34997-5602
Phone 7722217789101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0006866FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B Weisberg PA Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Associates of Pulmonary Medicine LLC PastSince Apr 5, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1141 SE Indian St
Stuart, FL 34997
Phone (772) 221-7789

1141 SE Indian St
Ste 101
Stuart, FL 34997
Phone (772) 221-7789

3511 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-7789

Interoperability endpoints

  • Direct secure messaging: richard.weisberg@sfpc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1598730608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-221-7789",
            "fax_number": "772-221-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SE INDIAN ST STE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975764",
            "telephone_number": "772-221-7789",
            "fax_number": "772-221-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "RICHARD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.