NPIMap

Individual provider Active NPI

Brian James Woebkenberg, M.D.

  • Orthopaedic Surgery Physician
  • Jasper, IN
National Provider Identifier
1629040530
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01058971A Issued in IN
Practice address
1900 Saint Charles St
Jasper, IN 47546-9145
Phone
(812) 634-1211
Fax
(812) 349-7626
NPI assigned
Feb 3, 2006
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01058971A IN Primary

Addresses

Primary practice location

1900 Saint Charles St
Jasper, IN 47546-9145

Mailing address

1900 Saint Charles St
Jasper, IN 47546-9145
Phone (812) 634-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000167 IN Practitioner - Orthopedic Surgery 2466581921 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, IN

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norris and Love Orthopaedic and Sports PCGroup PAC ID 4981695228, 12 clinicians

Practice addresses (Care Compare)

1900 Saint Charles St
Jasper, IN 47546-9145
Phone (812) 634-1211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.55 of 100Reported as individual
Quality
14.29
Improvement activities
0
Cost
76.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement46
Knee replacement47
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)81
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058971AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Specialty Physicians, Inc CurrentSince Oct 16, 2025 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Oct 16, 2025 Accepting new patients
Saint Charles Surgical Pavilion Inc PastSince Jul 31, 2017 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1900 Saint Charles St
Jasper, IN 47546
Phone (812) 634-1211

721 W 13th St
Ste 205
Jasper, IN 47546
Phone (812) 481-7200

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

Interoperability endpoints

  • Direct secure messaging: bwoebkenberg1046818@direct.deaconess.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1629040530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SAINT CHARLES ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469145",
            "telephone_number": "812-634-1211",
            "fax_number": "812-634-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAINT CHARLES ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469145",
            "telephone_number": "812-634-1211",
            "fax_number": "812-349-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOEBKENBERG",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01058971A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.