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GREGORY JOHN WEISBRUCH MD NPI 1215980040


NPI Information

NPI: 1215980040
Provider Name: GREGORY JOHN WEISBRUCH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

CLIA Number: 45D2137101

Address:
3500 GASTON AVENUE
DALLAS, TX
ZIP 75246
Phone: (214) 826-8822
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Gregory John Weisbruch, MD is a diagnostic radiology radiology in Dallas, TX with 40 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gregory John Weisbruch, MD NPI is 1215980040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1984

The provider's business location address is:

3500 GASTON AVENUE
DALLAS, TX
ZIP 75246
Phone: (214) 826-8822
Fax: (214) 826-9792

The NPI 1215980040 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D2137101 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ct scan chest (HCPCS:71250)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Mammography of both breasts (HCPCS:77067)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of face (HCPCS:70486)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 10/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyG8496TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D69243MEDICARE UPIN
2139986727MEDICAIDTEXAS
3300136749MEDICARE PINTEXAS
48A9013MEDICARE PINTEXAS
5P00034806MEDICARE PINTEXAS
68021B9MEDICARE PINTEXAS
7139986726MEDICAIDTEXAS
8139986729MEDICAIDTEXAS
98C8523MEDICARE PINTEXAS
108C2507MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.