Brandon Tyler Weaver

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

48 Dry Run Rd
West Portsmouth, OH 45663-8987

Phone

(740) 935-0871

NPI assigned

Oct 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1720629421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 DRY RUN RD",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456638987",
            "telephone_number": "740-935-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 DRY RUN RD",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456638987",
            "telephone_number": "740-935-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRANDON",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elaine Waller
• Katelyn Michelle Ward
• Washington Township
• Washington-Nile Local School District
• Blaine A Weaver
• Nakita Weaver, CDCA
• Jacob Werring
• Jeana Kay Wigglesworth, L.P.N.
• Judy Lynn Wise Coldiron
• James Wiseman, CDCA

• Athletic Trainer in West Portsmouth, OH
• Providers in West Portsmouth, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.