Individual provider Active NPI

Brandon Scott Weaver, PA-C

  • Medical Physician Assistant
  • Federal Way, WA
National Provider Identifier
1053632083
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 60263373 Issued in WA
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

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PA 55 clinicians
Carbon Health Medical Group of Washington PC 14 clinicians

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

LicenseStateTypeSpecialty
PA 60263373WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 10, 2018 Accepting new patients
Carbon Health Medical Group of Washington PC CurrentSince Nov 11, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 10, 2018 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 1, 2025 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.

View all 17

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

Verify at the official NPI Registry.