Active NPI
Brian Harper Wetchler, D.O.
- Internal Medicine Physician
- Woodbury, NY
National Provider Identifier
1710253158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 271383
- Practice address
- 135 Crossways Park Dr Ste LL7
Woodbury, NY 11797-2008 - Phone
- (516) 212-7630
- Fax
- (516) 200-2482
- NPI assigned
- Mar 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 271383 | NY | Primary |
Addresses
Primary practice location
135 Crossways Park Dr Ste LL7
Woodbury, NY 11797-2008
Mailing address
135 Crossways Park Dr Ste LL7
Woodbury, NY 11797-2008
Phone (516) 212-7630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 12, 2021 through Apr 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271383 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wetchler Medical PC | Internal Medicine | Current | Accepting new patients |
Locations
135 Crossways Park Dr
Ste LL07
Woodbury, NY 11797
Phone (516) 212-7630
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Woodbury, NY
- NPI 1154137073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1710253158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 CROSSWAYS PARK DR STE LL7",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972008",
"telephone_number": "516-212-7630",
"fax_number": "516-200-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CROSSWAYS PARK DR STE LL7",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972008",
"telephone_number": "516-212-7630",
"fax_number": "516-200-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETCHLER",
"first_name": "BRIAN",
"middle_name": "HARPER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "271383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.