Individual provider Active NPI

Brian W. Weaver, MD

  • Emergency Medicine Physician
  • Clinton, SC
National Provider Identifier
1508960923
Registry record updated Jun 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17325 Issued in SC
Practice address
22725 Highway 76 E
Clinton, SC 29325-7527
Phone
(864) 833-9100
Fax
(864) 833-9493
NPI assigned
Sep 8, 2006
Last updated
Jun 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17325 SC Primary

Addresses

Primary practice location

22725 Highway 76 E
Clinton, SC 29325-7527

Mailing address

1 Independence PT
Ste 212
Greenville, SC 29615-4545
Phone (864) 797-6306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000270 SC Practitioner - Emergency Medicine 3971633306 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2669 Kinard St
Newberry, SC 29108-2911
Phone (803) 276-7570

300 Ridge Medical Plaza Rd
Edgefield, SC 29824-4525
Phone (803) 637-3174

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-1649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17325SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Greenville Health System CurrentSince Dec 1, 2013 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Sep 8, 2019 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Sep 7, 2024 Accepting new patients
Self Regional Healthcare Partners CurrentSince Jun 1, 2021 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Greenville Health System CurrentSince Dec 1, 2013 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Sep 7, 2024 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Newberry County Memorial Hospital Emergency Medicine CurrentSince Mar 6, 2020 Accepting new patients
Self Regional Healthcare Partners Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Newberry County Memorial Hospital CurrentSince Mar 6, 2020 Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC Emergency Medicine Past Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: bweaver189517@selfregional.direct-ci.net

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372464000000",
    "number": "1508960923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9100",
            "fax_number": "864-833-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "17325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.