BRYAN CHRISTIAN STEELE WEIDNER MD NPI 1124075692

NPI Information

  • NPI: 1124075692
  • Provider Name: BRYAN CHRISTIAN STEELE WEIDNER, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5153 N 9TH AVE
    SUITE 307
    PENSACOLA, FL
    ZIP 32504
  • Phone: (850) 416-7119

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NPI Details

Bryan Christian Steele Weidner, MD is a pediatric surgery surgery in Pensacola, FL. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Bryan Christian Steele Weidner, MD NPI is 1124075692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5153 N 9TH AVE
SUITE 307
PENSACOLA, FL
ZIP 32504-785
Phone: (850) 416-7119
Fax: (850) 416-6142

The NPI 1124075692 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 enumeration date for this NPI number is 5/28/2006 and was last updated on 9/24/2015.

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
12086S0120XSurgeryPediatric SurgeryME101775FLORIDAYes

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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