Active NPI
Brandon Scott Weaver, PA-C
- Medical Physician Assistant
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 60263373
- Practice address
- 33801 1St Way S Ste 101
Federal Way, WA 98003-6219 - Phone
- (206) 524-5599
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 60263373 | WA | Primary |
Addresses
Primary practice location
33801 1St Way S Ste 101
Federal Way, WA 98003-6219
Mailing address
33801 1St Way S Ste 101
Federal Way, WA 98003-6219
Phone (206) 524-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190321001477 | WA | Practitioner - Physician Assistant | 6204176696 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carbon Health Medical Group of Florida PACarbon Health Medical Group of Washington PC
Practice addresses (Care Compare)
11100 NE 6TH St
Bellevue, WA 98004-5524
Phone (206) 350-7345
1751 S 320TH St
Suite M24
Federal Way, WA 98003
Phone (253) 238-7148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60263373 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Carbon Health Medical Group of Washington PC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345
1750 S 320th St
#M24
Federal Way, WA 98003
Phone (253) 553-3761
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955
10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Puyallup, WA
- NPI 1831900422
WA
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1205417615
-
- Urgent Care Clinic/Center
- Dresher, PA
- NPI 1225619638
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1295316602
-
- Urgent Care Clinic/Center
- Mobile, AL
- NPI 1376145821
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1477155331
-
- Urgent Care Clinic/Center
- Portland, OR
- NPI 1588269021
-
- Urgent Care Clinic/Center
- Littleton, CO
- NPI 1730781691
-
- Urgent Care Clinic/Center
- Boston, MA
- NPI 1881261303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1053632083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33801 1ST WAY S STE 101",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036219",
"telephone_number": "206-524-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33801 1ST WAY S STE 101",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036219",
"telephone_number": "206-524-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "BRANDON",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA 60263373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.