Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Wesenberg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154007847

Corey Wesenberg is an Anesthesiology Assistant in Melbourne, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2023, 3 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
Nova Southeastern College of Osteo Medicine
In the registry since
2023

Practice location Address checks out

1350 Hickory St
Melbourne, FL 32901-3224
Phone: (321) 434-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154007847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address8128 Tethys Ct, Melbourne, FL 32940-8472

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2023 (3 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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