Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. George Alfred Wennerberg Jr., MD

Individual provider Internal Medicine Physician · NPI 1659666717

Dr. George Alfred Wennerberg Jr., MD practises 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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients163
Services billed 526 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $280 15 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Intermountain Health Heber Valley Hospital Hospital · Heber City, UT
  • Park City Hospital Hospital · Park City, UT

Colleagues at Bradley Physician Services, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 77 clinicians in the practice; 12 are shown here.

Other providers in Port Orange