BRENDA WEINGARTEN (MD) – Diagnostic Radiology Physician, NPI 1417905050

BRENDA WEINGARTEN (MD) is a healthcare provider. based in Southfield, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301406120 (MI). The NPI Number for BRENDA WEINGARTEN (MD) is 1417905050

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA WEINGARTEN (MD)
NPI
1417905050
Phone
(248) 352-9525
Address
29829 Telegraph Road
Enumeration Date
5 May 2006
Last Update Date
3 August 2018

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482881600
Graduation Year
1985 (41 years ago)
PAC ID
7719915321
Group Practice PAC ID
5890681746
Professional Enrollment ID
I20050803000569
Address ID
MI480730988RO30701AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for BRENDA WEINGARTEN (MD)

  • 29829 Telegraph Road

    Suite L103

    Southfield, MI 480341376

    Phone: (248) 352-9525

    Fax: (248) 357-2959

    Type: Location

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022689

    Phone: (313) 916-7425

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050803000569IDiagnostic RadiologyMITBD
I20231203000132IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
76770Complete ultrasound scan behind abdominal cavity5151$0
76700Complete ultrasound scan of abdomen4747$0
76705Limited ultrasound scan of abdomen4039$0
76536Ultrasound scan of head and neck soft tissue2222$0
93975Complete ultrasound of abdomen and pelvis artery and vein blood flow1515$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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Provider's Procedures

BRENDA WEINGARTEN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast3737

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890681746View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyNV
Diagnostic RadiologyMI
Diagnostic RadiologyMD
Geriatric Medicine, Diagnostic RadiologyMO
Diagnostic RadiologyCA
Diagnostic RadiologyMI
Diagnostic RadiologyMO
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

What federal number belongs to BRENDA WEINGARTEN (MD)?
The federal identifier for BRENDA WEINGARTEN (MD) is NPI 1417905050.
Is BRENDA WEINGARTEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BRENDA WEINGARTEN (MD)?
The page reflects Diagnostic Radiology Physician for BRENDA WEINGARTEN (MD). Clinical services aligned with this taxonomy classification.
Does BRENDA WEINGARTEN (MD) practice in Michigan?
You will see Southfield, Michigan on file for BRENDA WEINGARTEN (MD) alongside any extra practice locations.
How can I contact BRENDA WEINGARTEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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