Active NPI 1114286879 Individual Practitioner Male Practitioner

Dr. Michael Adam Weisbruch , MD

Internal Medicine • Niceville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Weisbruch, MD is a certified Internal Medicine practicing in Niceville, FL. With approximately 14 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2012, Dr. Weisbruch delivers high-quality medical care to the local community at 1001 COLLEGE BLVD W STE B1.

Dr. Weisbruch is affiliated with Alw Enterprises, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 College Blvd W Ste B1

Niceville, FL 325781049

Telephone 8502524303

Fax 8339632101

Associated Practice Facility / Clinic

🏢 Alw Enterprises, Pa Facility NPI 1548820798

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Niceville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -7.8 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Niceville, FL (10650 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

11.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weisbruch (14 Years) 14 Yrs

Niceville Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,898	840	$72.00	$60.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	2,381	936	$195.00	$175.88
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,940	739	$55.00	$46.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	1,887	896	$19.00	$16.04
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	1,251	662	$95.00	$82.80
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	931	527	$145.00	$129.37
G0442 Annual alcohol misuse screening, 5 to 15 minutes	709	709	$22.00	$17.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	709	709	$135.00	$125.54
G0444 Annual depression screening, 5 to 15 minutes	675	675	$21.00	$17.95
99437 Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month	372	257	$67.00	$58.27
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	299	198	$83.00	$69.91
99497 Advance care planning, first 30 minutes	249	249	$90.00	$79.75
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	238	217	$40.00	$24.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	192	$140.00	$124.56
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	134	133	$65.00	$60.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	119	119	$245.00	$216.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	93	93	$170.00	$159.66
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	56	56	$51.00	$43.46
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	47	47	$54.00	$46.75
99213 Established patient office or other outpatient visit, typically 15 minutes	45	45	$102.00	$88.13
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	26	21	$36.00	$31.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$170.00	$160.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,894	775	$75.00	$62.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	2,108	791	$195.00	$178.55
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	830	445	$55.00	$46.81
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	827	482	$114.08	$84.63
99497 Advance care planning, first 30 minutes	773	765	$119.50	$83.06
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	727	114	$55.00	$47.90
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	662	110	$65.00	$47.42
G0442 Annual alcohol misuse screening, 5 to 15 minutes	633	633	$29.91	$18.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	630	630	$183.53	$128.67
G0444 Annual depression screening, 5 to 15 minutes	602	602	$29.93	$18.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	333	333	$293.95	$220.60
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	225	224	$75.76	$61.24
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	198	168	$40.00	$25.89
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	162	77	$55.00	$39.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	143	143	$177.78	$165.30
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	131	86	$49.89	$32.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	101	$150.00	$127.33
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	106	81	$150.00	$131.23
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	61	61	$40.00	$26.21
99437 Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month	60	54	$75.00	$59.75
99496 Transitional care management services for problem of high complexity	48	47	$300.00	$274.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	11	$30.45	$22.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$516.33	$175.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	12	$19.00	$1.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	28	$25.00	$8.18
36415 Insertion of needle into vein for collection of blood sample	34	25	$14.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$110.00	$89.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	30	$179.67	$165.60
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	24	22	$75.00	$69.65
20610 Aspiration and/or injection of fluid from large joint	18	18	$135.00	$68.92
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	18	13	$25.00	$18.55
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	11	$25.00	$14.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$351.38	$126.86
69210 Removal of impacted ear wax	14	14	$58.57	$47.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	4,075	648	$75.00	$62.72
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,981	20	$18.50	$12.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	1,729	619	$195.00	$179.61
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	1,337	568	$115.00	$84.99
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,012	476	$54.01	$46.79
99497 Advance care planning, first 30 minutes	563	560	$120.00	$84.18
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	494	107	$55.00	$48.37
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	452	100	$65.00	$51.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	442	442	$184.00	$128.80
G0442 Annual alcohol misuse screening, 5 to 15 minutes	441	441	$30.00	$18.19
G0444 Annual depression screening, 5 to 15 minutes	421	421	$30.00	$17.88
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	283	188	$40.00	$26.39
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	244	181	$147.60	$128.88
99437 Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month	239	159	$80.86	$60.53
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	208	92	$25.00	$17.82
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	172	114	$50.00	$33.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	127	127	$295.00	$221.34
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	124	124	$76.00	$61.24
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	121	121	$40.00	$26.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	116	116	$178.00	$166.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	72	$150.00	$126.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	69	17	$19.00	$1.14
99496 Transitional care management services for problem of high complexity	62	52	$299.29	$273.80
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	61	53	$72.13	$66.57
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	50	38	$55.00	$39.77
20610 Aspiration and/or injection of fluid from large joint	41	34	$135.00	$78.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	33	$25.38	$8.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	24	$50.00	$40.28
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$107.10	$89.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$75.00	$56.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	24	$65.00	$52.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	14	$262.30	$101.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$180.00	$165.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$516.33	$196.13
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	14	$25.00	$15.28
69210 Removal of impacted ear wax	13	13	$60.00	$47.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	1,976	560	$115.00	$81.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	1,252	529	$189.09	$179.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	983	392	$45.00	$40.65
99497 Advance care planning, first 30 minutes	509	502	$120.00	$85.52
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	319	319	$76.00	$60.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	318	318	$184.00	$131.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	314	314	$275.41	$223.49
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	302	302	$40.00	$26.88
G0444 Annual depression screening, 5 to 15 minutes	294	294	$30.00	$18.25
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	265	173	$105.00	$89.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	246	246	$30.00	$18.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	184	$150.20	$129.70
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	232	139	$50.00	$33.62
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	209	150	$40.00	$26.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	182	182	$178.00	$167.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	23	$19.00	$1.26
20610 Aspiration and/or injection of fluid from large joint	63	32	$135.00	$83.74
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	59	35	$40.00	$37.23
99496 Transitional care management services for problem of high complexity	49	43	$256.00	$256.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	33	$40.00	$8.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	31	$60.29	$52.42
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$81.00	$81.00
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	27	24	$51.85	$43.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	21	$28.20	$15.60
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	16	$50.00	$40.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$180.00	$167.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$207.65	$169.08
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	16	16	$40.00	$28.99
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	14	14	$113.21	$104.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	877	240	$119.29	$42.36
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	688	277	$155.81	$84.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	645	265	$207.12	$109.35
99497 Advance care planning, first 30 minutes	291	269	$128.25	$87.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	275	274	$389.57	$211.61
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	256	256	$118.05	$62.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$193.74	$116.63
99354 Prolonged office or other outpatient service first hour	200	131	$244.33	$133.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	195	140	$363.31	$147.20
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	98	72	$170.30	$89.68
G0442 Annual alcohol misuse screening, 5 to 15 minutes	87	87	$30.00	$18.22
G0444 Annual depression screening, 5 to 15 minutes	86	86	$30.00	$18.22
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	86	17	$293.27	$143.33
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	75	36	$45.00	$37.89
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	68	68	$40.00	$27.08
20610 Aspiration and/or injection of fluid from large joint	57	23	$126.18	$83.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	33	33	$175.46	$161.18
99496 Transitional care management services for problem of high complexity	25	23	$401.52	$228.14
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	23	16	$52.17	$44.39
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$107.22	$74.53
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	15	15	$40.00	$27.08
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$35.15	$17.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	104	61	$177.12	$80.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	44	$227.56	$107.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$163.88	$114.31
99220 Hospital observation care, typically 70 minutes	61	61	$470.10	$186.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	60	60	$437.06	$206.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$347.50	$163.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$516.33	$203.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	36	$423.63	$144.22
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	30	22	$84.00	$41.12
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	19	17	$186.00	$89.72
99219 Hospital observation care, typically 50 minutes	12	12	$343.18	$136.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$174.24	$164.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$516.33	$204.31
99220 Hospital observation care, typically 70 minutes	54	52	$470.10	$187.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	29	$262.30	$104.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	29	$182.25	$73.27
99291 Critical care, first 30-74 minutes	18	18	$569.70	$225.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	31	$262.00	$101.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$182.00	$70.03
99239 Hospital discharge day management, more than 30 minutes	15	15	$270.00	$103.99

Medical Specialties & State Licenses

CMS Verified: 2025-07-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME134487

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Alw Enterprises, Pa

1001 College Blvd W, Niceville, FL 325781049

Phone: 8502524303

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Megan Nall , APRN

Nurse Practitioner - Family

NPI 1144938580

Advanced Practice Registered Nurse

Mwajuma Teague

Family Medicine

NPI 1528710795

Rebecca Sulack , APRN

Nurse Practitioner - Family

NPI 1669090296

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location July 10, 2025

Registered at 1001 COLLEGE BLVD W STE B1, NICEVILLE, FL 325781049 (Tel: 8502524303)

📍

Updated Business Mailing Address July 10, 2025

Registered at 1001 COLLEGE BLVD W STE B1, NICEVILLE, FL 325781049 (Tel: 8502524303)

📍

Updated Practice Location October 03, 2024

Registered at 7800 US HIGHWAY 98 W, MIRAMAR BEACH, FL 325507228 (Tel: 8504167262)

📍

Updated Business Mailing Address October 03, 2024

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623 (Tel: 9044506063)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2020

Internal Medicine (License #ME134487 in FL)

📍

Updated Practice Location June 20, 2019

Registered at 1001 COLLEGE BLVD W, NICEVILLE, FL 325781099 (Tel: 8502524303)

📍

Updated Business Mailing Address June 20, 2019

Registered at 1001 COLLEGE BLVD W, NICEVILLE, FL 325781099 (Tel: 8502524303)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2019

Hospitalist (License #ME134487 in FL)

📍

Updated Practice Location April 25, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508839906)

📍

Updated Business Mailing Address April 25, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2018

Internal Medicine (License #ME134487 in FL)

✅

NPI Profile Active May 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2014

Registered at 2200 BERGQUIST DR., WILFORD HALL AMBULATORY SURGICAL CENTER, LACKLAND AFB, TX 782369908 (Tel: 2102925077)

📍

Updated Business Mailing Address May 24, 2014

Registered at 2200 BERGQUIST DR., WILFORD HALL AMBULATORY SURGICAL CENTER, LACKLAND AFB, TX 782369908 (Tel: 2102925077)

👤

Provider Name / Credentials Updated May 24, 2014

Recorded as MICHAEL WEISBRUCH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2014

General Practice (License #0101255271 in VA)

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Initial NPI Registration & Enumeration May 15, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114286879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 15, 2012

Last Update: July 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1001 College Blvd W Ste B1

Niceville, FL 325781049

Phone: 8502524303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.