BRENT M WEBER (MD) – Emergency Medicine Physician, NPI 1407146657

BRENT M WEBER (MD) is a healthcare provider. based in Joint base langley-eustis, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 0101256607 (VA). The NPI Number for BRENT M WEBER (MD) is 1407146657

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRENT M WEBER (MD)
NPI
1407146657
Phone
(757) 764-6800
Address
77 Nealy Avenue
Enumeration Date
8 April 2011
Last Update Date
8 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172582525
Graduation Year
2011 (15 years ago)
PAC ID
6800036534
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20180703001961
Address ID
IL619384644MA1000XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for BRENT M WEBER (MD)

  • 77 Nealy Avenue

    633d Medical Group

    Joint Base Langley-Eustis, VA 236652040

    Phone: (757) 764-6800

    Type: Location

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384693

    Phone: (217) 238-6055

    Fax: (217) 258-2216

    Type: Mailing

  • 1000 HEALTH CENTER DR

    MATTOON, IL 619389261

    Phone: (217) 258-2551

    Fax: (217) 258-2256

    Type: Location

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: 2018-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (894 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
I20141229000108IEmergency MedicineVA2023-12-31
I20180703001961IEmergency MedicineILTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99285Emergency department visit with high level of medical decision making376353$0
99284Emergency department visit with moderate level of medical decision making215203$0
99291Critical care, first 30-74 minutes7876$0
99283Emergency department visit with low level of medical decision making6058$0
View full utilization report →

Insurance plans in this area (ZIP 23665)

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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: 5092614867View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify BRENT M WEBER (MD) with an NPI only?
You can start verification with NPI 1407146657 for BRENT M WEBER (MD), then check state licensing separately.
Is BRENT M WEBER (MD) still practicing?
BRENT M WEBER (MD) is currently listed as active in the public NPI registry.
What is BRENT M WEBER (MD)'s specialty?
The listing groups BRENT M WEBER (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does BRENT M WEBER (MD) serve?
BRENT M WEBER (MD)'s listing highlights Joint Base Langley-Eustis, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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