Individual provider Active NPI

Brian Harper Wetchler, D.O.

  • Internal Medicine Physician
  • Woodbury, NY
National Provider Identifier
1710253158
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271383 Issued in NY
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

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
271383NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wetchler Medical PC Internal Medicine CurrentSince Dec 8, 2024 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.

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

Verify at the official NPI Registry.