GREGORY JOHN WEISBRUCH MD NPI 1215980040

NPI Information

  • NPI: 1215980040
  • Provider Name: GREGORY JOHN WEISBRUCH, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 45D2137101
  • Address: 3500 GASTON AVENUE
    DALLAS, TX
    ZIP 75246
  • Phone: (214) 826-8822

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NPI Details

Gregory John Weisbruch, MD is a diagnostic radiology radiology in Dallas, TX with 41 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 without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • X-ray of spine, 1 view (HCPCS:72020)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Imaging for evaluation of swallowing function (HCPCS:74230)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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