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

Brandon Michael Weaver, PA

Individual provider Medical Physician Assistant · NPI 1730220500

Brandon Michael Weaver, PA is a Physician Assistant in Fulton, New York. Qualified in 2002, 24 years ago. Practices with Physician Care PC, a 77-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

510 S 4th St Ste 140
Fulton, NY 13069-2952
Phone: (315) 592-3930
Fax: (315) 592-3932
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 008798-1 (NY)

Record details

NPI number1730220500
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address110 W 6th St, Oswego, NY 13126-2507

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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