BRENT R WEILERT (NPI# 1699828186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699828186 |
| Entity Type | Individual |
| Full Name | BRENT R WEILERT |
| Credential | MD |
| Practice Address |
3336 North Futrall Drive Fayetteville AR 72703 |
| Mailing Address |
12 E Appleby Rd Clinic Administration Fayetteville AR 72703-3901 |
| Practice Telephone | 4794633000 |
| Practice Fax Number | 4794633050 |
| Mailing Telephone | 4794631704 |
| Mailing Fax Number | 4794637864 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2010-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
E-5218 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 164614001 | 05 | |
| AR | BCBS | 5N836 | 01 |
| AR | RR MCR | P00405693 | 01 |
| Street Address |
3336 NORTH FUTRALL DRIVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215252481 | Whitney Kern Braddy | Anesthesiology | 2153 Valleygate Dr Ste 102, Fayetteville, NC 28304-3667 | 2010-03-31 |
| 1689878118 | Pain and Laser Cente Pa | Anesthesiology | 1840 Owen Drive, Suite 103, Fayetteville, NC 28304-3455 | 2007-06-11 |
| 1619348463 | Premier Pain Practice Pllc | Anesthesiology | 1782 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-10-19 |
| 1558428789 | Interventional Pain Center Pllc | Anesthesiology | 2153 Valleygate Dr, Suite 102, Fayetteville, NC 28304-3681 | 2007-01-03 |
| 1942301494 | Cumberland Anesthesia Associates P A | Anesthesiology | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879752 | Navdeep Dogra Md, Pllc | Anesthesiology | 1801 W 40th Ave Ste 2c, Pine Bluff, AR 71603-6957 | 2020-07-24 |
| 1548896798 | Arkansas Pain Centers Ltd | Anesthesiology | 1225 Breckenridge Dr Ste 106, Little Rock, AR 72205-1565 | 2020-03-19 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1952741233 | Aditi Saraswat | Anesthesiology | 30 Dundee Cv, Batesville, AR 72501-9777 | 2013-07-01 |
| 1942645205 | Andrew Gunter Cain | Anesthesiology | 9101 Kanis Rd Ste 150a, Little Rock, AR 72205-6456 | 2013-04-30 |
| 1861753709 | Nicholas Benjamin Camp | Anesthesiology | 2900 Medical Center Pkwy Ste 110, Bentonville, AR 72712-3212 | 2012-06-07 |
| 1447518840 | Daniel Thornton Judkins | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-24 |
| 1598970782 | Ross E. Woody | Anesthesiology | 4323 Jefferson, Texarkana, AR 71854 | 2007-05-11 |
| 1780743732 | Interventional Pain Consultants, Pa | Anesthesiology | 5106 Mcclanahan Dr, Suite B, North Little Rock, AR 72116-7051 | 2006-12-06 |
| 1528078490 | William E Ackerman | Anesthesiology | 1701 Centerview Dr, Suite 200, Little Rock, AR 72211-4308 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.