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

Dr. George Alfred Wennerberg Jr., MD

Individual provider Internal Medicine Physician · NPI 1659666717

Dr. George Alfred Wennerberg Jr., MD is an Internal Medicine in Port Orange, Florida. Graduated from Loma Linda University School of Medicine in 2011, 15 years ago. Practices with Bradley Physician Services, LLC, a 77-clinician group and offers telehealth. Licensed in Florida and Tennessee.

Years since qualifying
15
Trained at
Loma Linda University School of Medicine
Licensed in
FL, TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5821 S Williamson Blvd Ste 204
Port Orange, FL 32128-6102
Phone: (386) 231-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME181118 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 74387 (TN)

Record details

NPI number1659666717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Bradley Physician Services, Llc — 77 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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