# BRIAN H. WEISS, M.D. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346390192
- **Authorized official:** DR. BRIAN H WEISS MD (PRESIDENT)
- **Authorized official phone:** (219) 662-2224

## Contact information

- **Practice address:** 119 E 89TH AVE, MERRILLVILLE, IN 46410-7184
- **Practice address phone:** (219) 736-1344
- **Mailing address:** 119 E 89TH AVE, MERRILLVILLE, IN 46410-7184
- **Mailing address phone:** (219) 736-1344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01024744 | IN | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 05/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080144835 | RAILROAD MEDICARE PTAN | IN |