Individual provider Active NPI

Brian Paul Weismann, MD

  • Ophthalmology Physician
  • St John, IN
National Provider Identifier
1821082181
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01046205A Issued in IN
Practice address
10220 Wicker Ave
Ste a
St John, IN 46373-9439
Phone
(219) 365-3900
Fax
(219) 365-5874
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01046205A IN Primary

Addresses

Primary practice location

10220 Wicker Ave
Ste a
St John, IN 46373-9439

Mailing address

10220 Wicker Ave
Ste a
St John, IN 46373-9439
Phone (219) 365-3900

Other identifiers 2

IdentifierTypeStateIssuer
000000199317OtherINBCBS
200123550BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101123000758 IN Practitioner - Ophthalmology 0042406555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10220 Wicker Ave
Suite 2
Saint John, IN 46373-8400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weismann Eye Center, PC Ophthalmology CurrentSince Jul 1, 2001 Accepting new patients

Locations

10220 Wicker Ave
Ste A
Saint John, IN 46373
Phone (219) 365-3900

10220 Wicker Ave
Ste 2
Saint John, IN 46373
Phone (219) 365-3900

Interoperability endpoints

  • Direct secure messaging: bweismann@weismanneye.eyeclinicdirect.net
  • Direct secure messaging: bweismann83073@direct.franciscanalliance.org

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1821082181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 WICKER AVE",
            "address_2": "STE A",
            "city": "ST JOHN",
            "state": "IN",
            "postal_code": "463739439",
            "telephone_number": "219-365-3900",
            "fax_number": "219-365-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 WICKER AVE",
            "address_2": "STE A",
            "city": "ST JOHN",
            "state": "IN",
            "postal_code": "463739439",
            "telephone_number": "219-365-3900",
            "fax_number": "219-365-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMANN",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01046205A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000199317",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200123550B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St John, IN

Sources for this page

Verify at the official NPI Registry.