BRANDON SCOTT WEAVER (PA-C) – Medical Physician Assistant, NPI 1053632083

BRANDON SCOTT WEAVER (PA-C) is a healthcare provider. based in Federal way, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 60263373 (WA). The NPI Number for BRANDON SCOTT WEAVER (PA-C) is 1053632083

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON SCOTT WEAVER (PA-C)
NPI
1053632083
Phone
(206) 524-5599
Address
33801 1ST WAY S STE 101
Enumeration Date
14 June 2010
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063507345
Graduation Year
2011 (15 years ago)
PAC ID
6204176696
Group Practice PAC ID
3274947304
Professional Enrollment ID
I20190321001477
Address ID
WA980045524BE11100STXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for BRANDON SCOTT WEAVER (PA-C)

  • 33801 1ST WAY S STE 101

    FEDERAL WAY, WA 980036219

    Phone: (206) 524-5599

    Type: Location

  • 2401 HAWKINS POINT RD

    BUILDING 28A

    BALTIMORE, MD 212261797

    Phone: (410) 636-7506

    Fax: (410) 636-7868

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-01-18 • Largest payer in this snapshot: Bioventus LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190321001477IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274947304View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCO
Nurse PractitionerWA
Nurse PractitionerMA
Physician AssistantTN
Physician AssistantCO
Nurse PractitionerWA
Physician AssistantTX
Physician AssistantWA
Physician AssistantCO

Reviews

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Frequently asked questions

What is BRANDON SCOTT WEAVER (PA-C)'s NPI number?
BRANDON SCOTT WEAVER (PA-C)'s NPI is 1053632083 — the number used across U.S. healthcare to identify this provider.
Would BRANDON SCOTT WEAVER (PA-C) appear as active to a payer?
You can treat BRANDON SCOTT WEAVER (PA-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BRANDON SCOTT WEAVER (PA-C)?
BRANDON SCOTT WEAVER (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is BRANDON SCOTT WEAVER (PA-C) registered?
Use Federal Way, Washington as the headline location for BRANDON SCOTT WEAVER (PA-C) here.
When was this NPI issued?
Enumeration for BRANDON SCOTT WEAVER (PA-C) is noted as June 14, 2010 where the registry provides it.

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