JASON M. WEAVER, MD, PA
NPI 1043363666
Dermatology in College Station, TX

Active since January 18, 2007
1602 ROCK PRAIRIE RD, SUITE 3400, COLLEGE STATION, TX 77845(409) 939-1618 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason M. Weaver, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON M. WEAVER, MD, PA (NPI 1043363666) is a healthcare organization registered as a dermatology in College Station, Texas and active in the NPI registry since January 2007. The organization lists Jason Michael Weaver, President, as its authorized official.

NPPES Registry Identity

NPI1043363666
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJASON M. WEAVER, MD, PA
Location Address1602 ROCK PRAIRIE RD, SUITE 3400College Station, TX 77845-8306
Mailing Address1602 Rock Prairie Rd, Suite 3400College Station, TX 77845-8306 · (979) 575-7435
Organization SubpartNo
Authorized OfficialJason Michael WeaverPresident · (979) 575-7435
Enumeration DateJanuary 18, 2007
Last NPPES UpdateApril 8, 2013
✔ NPI 1043363666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1602 ROCK PRAIRIE RD, College Station, TX 77845

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason M. Weaver, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jason M. Weaver, MD, PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1801996517
3632 COPPERCREST DR
Bryan, TX 77802
(979) 774-6633
✔ PECOS✔ Accepts Medicare8.8 mi
Dermatology
NPI 1992234769
6431 FANNIN ST STE MSB 1134
Houston, TX 77030
(713) 500-6500
✔ PECOS✔ Accepts Medicare85 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason M. Weaver, MD, PA's NPI number?

The NPI number for Jason M. Weaver, MD, PA is 1043363666. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Jason M. Weaver, MD, PA located?

Jason M. Weaver, MD, PA is located at 1602 Rock Prairie Rd Suite 3400, College Station, TX 77845. The listed phone number is (409) 939-1618.

What is Jason M. Weaver, MD, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jason M. Weaver, MD, PA enrolled in Medicare?

Yes. Jason M. Weaver, MD, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jason M. Weaver, MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Jason M. Weaver, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jason M. Weaver, MD, PA was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.