Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bartley Anderson Weaver, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013596055

Bartley Anderson Weaver, DO is a Pediatric Medicine in Kernersville, North Carolina. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2021, 5 years ago. Practices with Wake Forest Health Network LLC, a 271-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

861 Old Winston Rd Ste 103
Kernersville, NC 27284-7141
Phone: (336) 802-2300
Fax: (336) 802-2301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2024-01156 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013596055
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2021 (5 years in practice)
Group practice Wake Forest Health Network Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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