Individual provider Active NPI

Robert Gregory Weaver I, MD

  • Otolaryngology Physician
  • Culpeper, VA
National Provider Identifier
1336163658
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101056829 Issued in VA
Practice address
541 Sunset LN Ste 301
Culpeper, VA 22701
Phone
(540) 825-4557
Fax
(540) 852-4566
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101056829 VA Primary

Addresses

Primary practice location

541 Sunset LN Ste 301
Culpeper, VA 22701

Mailing address

PO Box 21975
Belfast, ME 04915-4116
Phone (540) 321-4281

Other practice location 1

1451 Hospital Dr
Fredericksburg, VA 22401-8424
Phone (540) 368-5350

Other identifiers 1

IdentifierTypeStateIssuer
1336163658MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1336163658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21975",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154116",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SUNSET LN STE 301",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "22701",
            "telephone_number": "540-825-4557",
            "fax_number": "540-852-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018424",
            "country_code": "US",
            "telephone_number": "540-368-5350",
            "fax_number": "540-371-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ROBERT",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101056829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163658",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.