WESLEY E. PEMBERTON MD – NPI #1972752954
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

WESLEY PEMBERTON is a physician located in WHITEHOUSE, TX. NPPES has assigned the NPI number 1972752954 to WESLEY PEMBERTON on September 15, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESLEY PEMBERTON below.

NPI Profile for
WESLEY E. PEMBERTON

NPI Number
1972752954
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WESLEY E. PEMBERTON
Credentials
MD
Primary location
403 STATE HIGHWAY 110 N
WHITEHOUSE, TX 75791-3109
Phone: (903) 213-5515 Fax: (888) 518-2562
1 Other location(s):
11937 US Highway 271
Tyler, TX 75708-3154
Phone: (903) 877-7777
Fax: (903) 877-5080
Mailing address
602 BRIDLE RIDGE DR
TYLER, TX 75703-5874
Phone: (903) 213-5515 Fax: (888) 518-2562
Sole Proprietor
No
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TX N4658
207P00000X
- Emergency Medicine
TX N4658

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WESLEY PEMBERTON is affiliated with the following medical group(s):
  • HOSPITAL
    • THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
      11937 US HIGHWAY 271
      TYLER, TX 75708

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.