Bryan Christian Steele Weidner, MD
Surgery, Pediatric Surgery in Pensacola, FL. Individual provider (NPI-1).
NPI number1124075692
StatusActive
Last updated in NPPESSep 24, 2015
Details
- NPI
- 1124075692
- Entity type
- Individual (NPI-1)
- Name
- Bryan Christian Steele Weidner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- Sep 24, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | ME101775 | FL | Yes |
Practice location
5153 N 9th AveSuite 307
Pensacola, FL 32504-8785
Phone 850-416-7119 · Fax 850-416-6142
Mailing address
Po Box 2699Pensacola, FL 32513-2699
Phone 850-416-7119 · Fax 850-416-6142
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