Dr. Brian Alexander Weatherby
Orthopaedic Surgery (Foot and Ankle Surgery)

Address: 200 Patewood Dr, Suite C100, Greenville, SC 29615-3593
Phone: 8644547422

Dr. Brian Alexander Weatherby (NPI# 1548380850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1548380850
Entity Type Individual
Full Name Dr. Brian Alexander Weatherby
Credential MD
Gender Male
Practice Address 200 Patewood Dr
Suite C100
Greenville
SC 29615-3593
Practice Telephone 8644547422
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Mailing Telephone 8647976044
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-03-30
Last Update Date 2013-09-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians 39782 TN
No 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians M9734 TX
Yes 207XX0004X Orthopaedic Surgery · Foot and Ankle Surgery Allopathic & Osteopathic Physicians 29484 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC 294844 MEDICAID

Physician Overview

NPI 1548380850
PAC ID by PECOS 2769556000
Professional Enrollment ID I20091202000357
Full Name Brian Alexander Weatherby
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8642717761
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2003
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 8325950983
Number of Group Practice Members 1160
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420037 GHS HILLCREST MEMORIAL HOSPITAL
420078 GHS GREENVILLE MEMORIAL HOSPITAL
420102 GHS PATEWOOD MEMORIAL HOSPITAL

Office Location

Street Address 200 PATEWOOD DR
SUITE C100
City GREENVILLE
State SC
Zip Code 29615-3593

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508861345 John Kim Johnson Neurological Surgery 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2005-06-17
1457891228 Sierra R Williams Nurse Practitioner 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2017-02-27
1063951333 Megan Lee Hiott Nurse Practitioner 200 Patewood Dr, A330, Greenville, SC 29615-3593 2017-02-19
1316485394 Anita Suzette Combs Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-02-09
1730626813 Lauren Lee Hays Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-01-26
1497200083 Abigail Pellett Physical Therapist 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 2016-08-24
1033664909 Upstate Affiliate Organization General Acute Care Hospital 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 2016-08-22
1144775032 Upstate Affiliate Organization General Acute Care Hospital 200 Patewood Dr, Building A, Greenville, SC 29615-3593 2016-08-20
1629522578 Philip Van Dyke Physical Therapist 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 2016-08-09
1851742662 Annette M Davis Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2016-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730646498 Anthony Alvarez Behavior Technician 17b Caldedon Ct, Greenville, SC 29615 2019-02-28
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavior Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
1013386424 Nikita Renee Irby Nurse's Aide 2413 Wade Hampton Blvd Apt 73, Greenville, SC 29615 2015-09-16
1023492253 Kristen Stevens Psychologist 319 Garlington Rd Ste C3, Greenville, SC 29615 2015-07-17
Find all providers in zip 29615

Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609988260 Joseph Thomas Anderson Orthopaedic Surgery 200 Patewood Dr, Suite C100, Greenville, SC 29615-3593 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902246077 Arcis Healthcare, LLC Orthopaedic Surgery 2880 Tricom St, North Charleston, SC 29406-9171 2013-07-03
1588905244 Roper Saint Francis Physicians Network Orthopaedic Surgery 319 Folly Rd, Charleston, SC 29412 2013-03-06
1427392281 Roper Saint Francis Physicians Network Orthopaedic Surgery 149 Saint James Ave, Goose Creek, SC 29445-2923 2012-11-19
1912046715 Alexander James Pappas Orthopaedic Surgery 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 2007-02-06
1639240021 Ross N Taylor Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-11-10
1679596548 Orthopaedic Specialists of Charleston Orthopaedic Surgery 2093 Henry Tecklenburg Dr, Ste 200, Charleston, SC 29414 2006-07-25
1740238773 Strand Orthopaedic Consultants, LLC Orthopaedic Surgery 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 2006-05-04
1841291598 William C James IIi Orthopaedic Surgery 1910 Blanding St, Columbia, SC 29201-3520 2005-08-03

Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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