Active NPI
Robert Bruce Weir Jr., MD
- Surgery Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 56090
- Practice address
- 146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800 - Phone
- (803) 936-3300
- Fax
- (803) 936-7735
- NPI assigned
- Apr 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 49942 | TN | |
| Surgery Physician | 208600000X | 56090 | CO | Primary |
Addresses
Primary practice location
146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 739-3387
Other practice location 1
378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751
Other practice location 2
743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200
Other practice location 3
1980 Holton Ave E Ste 203
Big Stone Gap, VA 24219-3367
Phone (276) 523-8865
Other practice location 4
130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841
Phone (423) 224-3300
Other practice location 5
3016 Longtown Commons Dr Ste 210
Columbia, SC 29229-7863
Phone (803) 936-3300
Other practice location 6
1410 Tusculum Blvd Ste 1700
Greeneville, TN 37745-5818
Phone (423) 787-7100
Other practice location 7
671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874
Other practice location 8
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 9
1490 Park Ave NW Ste 4B
Norton, VA 24273-1631
Phone (276) 439-1385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50185063 | Medicaid | CO |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rweir146428@direct.lexmed.com | ||
| Direct Messaging Address | rweir146428@direct.lexmed.com | ||
| Direct Messaging Address | rweir146428@direct.lexmed.com | ||
| Direct Messaging Address | rweir146248@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CO, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111
Hospital & facility affiliations
- Lonesome Pine Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56090 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Current | Accepting new patients | |
| Emergency Staffing Solutions Inc | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current | Accepting new patients | |
| Colorado Surgical and Critical Care Associates PLLC | Surgery | Current | Accepting new patients |
| Western Virginia Regional Emergency Physicians, LLC | Current | Accepting new patients | |
| Solstas Lab Partners Group LLC | Past | Accepting new patients |
Locations
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
9399 Crown Crest Blvd
Ste 220
Parker, CO 80138
Phone (303) 805-1855
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
130 W Ravine Rd
Ste 3A
Kingsport, TN 37660
Phone (423) 224-3220
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
Interoperability endpoints
- robert.weir.1@15573.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
-
- Surgery Physician
- Aurora, CO
- NPI 1295846426
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1407850985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1437475266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-739-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E HOSPITAL DR STE 400",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694800",
"telephone_number": "803-936-3300",
"fax_number": "803-936-7735"
}
],
"practiceLocations": [
{
"address_1": "378 Marketplace Blvd Ste 5",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042361",
"country_code": "US",
"telephone_number": "423-282-0751",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Island Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "VA",
"postal_code": "242017403",
"country_code": "US",
"telephone_number": "276-469-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1980 Holton Ave E Ste 203",
"address_purpose": "LOCATION",
"city": "Big Stone Gap",
"state": "VA",
"postal_code": "242193367",
"country_code": "US",
"telephone_number": "276-523-8865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd Ste 3A",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603841",
"country_code": "US",
"telephone_number": "423-224-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3016 Longtown Commons Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292297863",
"country_code": "US",
"telephone_number": "803-936-3300",
"fax_number": "803-936-7735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 Tusculum Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377455818",
"country_code": "US",
"telephone_number": "423-787-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "671 Highway 58 E",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242733007",
"country_code": "US",
"telephone_number": "276-679-5874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1490 Park Ave NW Ste 4B",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242731631",
"country_code": "US",
"telephone_number": "276-439-1385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIR",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "49942",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "56090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50185063",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rweir146428@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rweir146428@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rweir146428@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rweir146248@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.