Basic Information
| Provider Information | |||||||||
| NPI: | 1811995962 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEISS | ||||||||
| FirstName: | CARL | ||||||||
| MiddleName: | BROOCK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2005 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD041232E | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 01671101 | 01 | KEYSTONE HEALTH CENTRAL | OTHER | P379418 | 01 | OXFORD HEALTH PLANS | OTHER | 0091768 | 01 | AETNA PPO | OTHER | 01671101 | 01 | CAPITAL BLUE CROSS | OTHER | 77844 | 01 | GEISINGER HEALTH PLAN | OTHER | 1174390 | 01 | CIGNA HEALTHCARE | OTHER | 328822 | 01 | HEALTH AMERICA/HEALTH ASS | OTHER | 1459543 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | 110029700 | 01 | RAILROAD MEDICARE | OTHER | 819553 | 01 | FIRST PRIORITY HEALTH | OTHER | 0085755000 | 01 | KEYSTONE HEALTH EAST | OTHER | 162441 | 01 | HIGHMARK BLUE SHIELD | OTHER | 162441 | 01 | FIRST PRIORITY LIFE INS. | OTHER | 2170498 | 01 | MAMSI | OTHER | 0011239720001 | 05 | PA | MEDICAID | 0085755000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 0085755000 | 01 | AMERIHEALTH | OTHER | 1553794 | 01 | UNITED HEALTHCARE | OTHER |