Jason Michael Weaver, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9/22/06 Issued in TX

Practice address

3632 Coppercrest Dr
Bryan, TX 77802-5948

Phone

(979) 774-6633

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Dermatology

Education

University of Texas Medical Branch at Galveston, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason M Weaver MD PAGroup PAC ID 9638260045, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jason M. Weaver, MD, PA

  • Dermatology Physician
  • College Station, TX
  • NPI 1043363666
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1801996517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 COPPERCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025948",
            "telephone_number": "979-774-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 COPPERCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025948",
            "telephone_number": "979-774-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "9/22/06",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "09/22/06",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watson Orthodontic Specialist of the Brazos Valley
• Daffney Kendra Watson-Couch, M.A.
• James Garland Watson, Jr., D.D.S., M.S.D.
• Stephen Tyler Watson
• Brian Allan Watts, PT
• Staci Dawn Weaver, OTR
• Stephanie Weber, LMFT-ASSOCIATE
• Thomas Mark Weber, M.D.
• Mark Alan Weedon, LMFT-A
• Paulla Weekes, LMSW

• Dermatology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.

Verify at the official NPI Registry.