Active NPI
Richard B Weisberg PA
- Family Medicine Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS6866
- Legal business name
- RICHARD B WEISBERG PA
- Practice address
- 1141 SE Indian St Ste 101
Stuart, FL 34997-5764 - Phone
- (772) 221-7789
- Fax
- (772) 221-8584
- NPI assigned
- Oct 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard B Weisberg, D.O
- Title
- Physician
- Phone
- (772) 221-7789
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS6866 | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271107900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0942267 | Richard B Weisberg DO | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
1141 SE Indian St
Ste 101
Stuart, FL 34997
Phone (772) 221-7789
3511 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-7789
1141 SE Indian St
Stuart, FL 34997
Phone (772) 221-7789
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Stuart, FL
- NPI 1598730608
-
- Family Nurse Practitioner
- Stuart, FL
- NPI 1992158182
-
- Family Nurse Practitioner
- Stuart, FL
- NPI 1184070880
-
- Family Nurse Practitioner
- Palm Beach Gardens, FL
- NPI 1679822449
-
- Family Nurse Practitioner
- Stuart, FL
- NPI 1336550821
-
- Women's Health Nurse Practitioner
- Stuart, FL
- NPI 1144410713
-
- Family Nurse Practitioner
- Stuart, FL
- NPI 1528380839
-
- Medical Physician Assistant
- Port Saint Lucie, FL
- NPI 1831285832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1760633473",
"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": {
"organization_name": "RICHARD B WEISBERG PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-01",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "772-221-7789",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS6866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271107900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.