Active NPI
Bert Evans Weaver
- Other Technician
- Layton, UT
National Provider Identifier
1528118957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2250 Robins Dr
Layton, UT 84041-1140 - Phone
- (801) 779-3001
- Fax
- (801) 774-6100
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
2250 Robins Dr
Layton, UT 84041-1140
Mailing address
451 Bruce St Apt E
Clearfield, UT 84015-2138
Phone (801) 776-0358
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528118957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 BRUCE ST APT E",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840152138",
"telephone_number": "801-776-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 ROBINS DR",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411140",
"telephone_number": "801-779-3001",
"fax_number": "801-774-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "BERT",
"middle_name": "EVANS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.