Provider Demographics
NPI:1861410292
Name:WEINZAPFEL, BRETT THOMAS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:THOMAS
Last Name:WEINZAPFEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 CROSSLAKE DR
Mailing Address - Street 2:TRI-STATE ORTHOPAEDIC SURGEONS
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-8198
Mailing Address - Country:US
Mailing Address - Phone:812-477-1558
Mailing Address - Fax:812-476-6867
Practice Address - Street 1:225 CROSSLAKE DR
Practice Address - Street 2:TRI-STATE ORTHOPAEDIC SURGEONS
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-8198
Practice Address - Country:US
Practice Address - Phone:812-477-1558
Practice Address - Fax:812-476-6867
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01063486A207XS0117X, 207X00000X
KY45946207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN836570FFMedicare PIN
IN836570FFMedicare PIN