Individual provider Active NPI

Bryan Weaver

  • Certified Registered Nurse Anesthetist
  • Norwich, CT
National Provider Identifier
1972184315
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN10005388 Issued in MA
Practice address
326 Washington St
Norwich, CT 06360-2740
Phone
(860) 889-8331
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 176915 CT
Certified Registered Nurse Anesthetist 367500000X RN10005388 MA Primary
Certified Registered Nurse Anesthetist 367500000X APRN04517 RI
Certified Registered Nurse Anesthetist 367500000X 136407 CT

Addresses

Primary practice location

326 Washington St
Norwich, CT 06360-2740

Mailing address

209 Greystone Dr
Shavertown, PA 18708-9764
Phone (570) 905-5594

Other practice location 1

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Other practice location 2

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700

Other practice location 3

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (850) 985-9180

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NH, RI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210610003207 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022418136 Reassigns benefits to 4 organizations
I20240822000704 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022418136 Reassigns benefits to 1 organization
I20250107001467 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022418136 Reassigns benefits to 1 organization
I20250512001163 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022418136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 444-3735

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
176915CTMDRegistered Nurse
136407CTMDCertified Registered Nurse Anesthetist
RN10005388MAMDCertified Registered Nurse Anesthetist
APRN04517RIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York - Patchogue PC CurrentSince Oct 18, 2024 Accepting new patients
Connecticut Gi PLLC CurrentSince Sep 1, 2021 Accepting new patients
Yale University CurrentSince Oct 30, 2025 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Jul 1, 2024 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince May 21, 2021 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 8, 2025 Accepting new patients
Yale University CurrentSince Oct 30, 2025 Accepting new patients
Northeast Medical Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 26, 2025 Accepting new patients

Locations

52 Hazelnut Hill Rd
Groton, CT 06340
Phone (860) 446-8265

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

20 York St
Fl 3
New Haven, CT 06510
Phone (203) 688-0715

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: bryan.weaver@xdr.hhchealthdirect.org

Organizations & group practices 8

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.

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": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1972184315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 GREYSTONE DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089764",
            "telephone_number": "570-905-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602740",
            "telephone_number": "860-889-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204700",
            "country_code": "US",
            "telephone_number": "860-442-0711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Herrick St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151790",
            "country_code": "US",
            "telephone_number": "978-816-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "850-985-9180",
            "fax_number": "765-588-1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "176915",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN10005388",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN04517",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "136407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "address_1": "326 Washington St",
            "city": "Norwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063602740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.