Brian W. Weaver, MD
Individual provider Active NPI Emergency Medicine Physician · Clinton, SC
NPI 1508960923 · NPPES record last updated Jun 29, 2013
Key facts
- NPI
- 1508960923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 17325 (SC)
- Practice address
- 22725 Highway 76 E
Clinton, SC 29325-7527 - Phone
- (864) 833-9100
- Fax
- (864) 833-9493
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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
- Newberry County Memorial Hospital
Self Regional Healthcare Partners
Abbeville County Memorial Hospital
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
- Newberry County Memorial Hospital
- Abbeville Area Medical Center
- Edgefield County Healthcare an Affiliate of Self R
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000270 | SC | Practitioner - Emergency Medicine | 3971633306 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17325 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current |
Accepting new patients | |
| Newberry County Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Emergency Medicine | Current |
Accepting new patients |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Self Regional Healthcare Partners | Current |
Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Prisma Health-Upstate | Current |
Accepting new patients | |
| Edcare Consulting LLC | Emergency Medicine | Current |
Accepting new patients |
| Greenville Health System | Current |
Accepting new patients | |
| Abbeville County Memorial Hospital | Current |
Accepting new patients | |
| Abbeville County Memorial Hospital | Current |
Accepting new patients | |
| Newberry County Memorial Hospital | Current |
Accepting new patients | |
| Prisma Health-Upstate | Current |
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
Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
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
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
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
- bweaver189517@selfregional.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17325 | SC | Yes |
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
Other providers in Clinton, SC
- Slade Christopher Walters
- Nichole Anne Wargo
- James Lawrence Waring III
- Rufus W Watkins
- Jennifer Watson
- James L. Webb
- Charlotte Weber
- Wendy Abercrombie, LLC
- Nakia Wesley
- Amy Westberg
All providers in Clinton, SC · Emergency Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.