Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian Adam Wiederhold, PA-C

Individual provider Physician Assistant · NPI 1851090237

Brian Adam Wiederhold, PA-C is a Physician Assistant in Boca Raton, Florida. Qualified in 2023, 3 years ago. Practices with Total Vein and Skin LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9910 Sandalfoot Blvd Ste 1
Boca Raton, FL 33428-6692
Phone: (561) 883-3030
Fax: (561) 852-7611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117384 (FL)

Record details

NPI number1851090237
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Total Vein And Skin Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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