MEDICARE: DR. BRENT C. WESENBERG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD26812	OR
2	174400000X	Specialist	MD26812	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	00389270	OTHER	OR	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073560876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENT C. WESENBERG MD

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5234 SW PHILOMATH BLVD
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97333-1042
Country	:	US
Telephone Number	:	541-768-4970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	11/10/2020

Similar Medicare Providers

1073593422 — DR. JANET CHANG D.O.
Practice Location Address:

5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042

Practice Phone: 541-768-4970
Practice Fax:

1861451916 — DR. TIMOTHY UENG MD
Practice Location Address:

5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042

Practice Phone: 541-768-4970
Practice Fax:

1386603116 — SUNSET DENTAL
Practice Location Address:

5208 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042

Practice Phone: 541-766-8000
Practice Fax: 541-766-4667

1427018027 — MR. WILLIAM H WRIGHT PAC
Practice Location Address:

5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042

Practice Phone: 541-768-4970
Practice Fax:

1205872298 — MS. NANCY J. VANASCHE MSN, FNP-C
Practice Location Address:

5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042

Practice Phone: 541-768-4970
Practice Fax:

1922037977 — SAFEWAY INC
Practice Location Address:

5270 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042

Practice Phone: 541-738-2106
Practice Fax: 541-738-2108

Directions to “ DR. BRENT C. WESENBERG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.