1. Home
  2. Directory
  3. Texas
  4. Blanco
  5. Family Medicine
  6. NPI Profile

BLANCO REGIONAL CLINIC, P.A.
NPI 1164547519
Family Medicine in Blanco, TX

Active since March 21, 2007
825 4TH ST, BLANCO, TX 78606(830) 833-5581(830) 833-4933 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blanco Regional Clinic, P.a. NPPES

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

BLANCO REGIONAL CLINIC, P.A. (NPI 1164547519) is a healthcare organization registered as a family medicine in Blanco, Texas and active in the NPI registry since March 2007. The organization lists John D Weaver, President, as its authorized official.

NPPES Registry Identity

NPI1164547519
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLANCO REGIONAL CLINIC, P.A.
Location Address825 4TH STBlanco, TX 78606-4913
Mailing AddressPo Box 1629, 825 Fourth StreetBlanco, TX 78606-1629 · (830) 833-5581 · Fax (830) 833-4933
Phone(830) 833-5581
Fax(830) 833-4933
Organization SubpartNo
Authorized OfficialJohn D WeaverPresident · (830) 833-5581
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 16, 2008
✔ NPI 1164547519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
825 4TH ST, Blanco, TX 78606
Open in Google Maps ↗

Other Identifiers 2

Medicaid080001301TX
Medicare ID-Type Unspecified0014BHTX

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 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)

Blanco Regional Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blanco Regional Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

John Weaver, MD
Family Practice
NPI 1841248408
405 S US HIGHWAY 281 STE 101C
Johnson City, TX 78636
(830) 868-7800
✔ PECOS✔ Accepts Medicare12 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 Blanco Regional Clinic, P.A.'s NPI number?

The NPI number for Blanco Regional Clinic, P.A. is 1164547519. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Blanco Regional Clinic, P.A. located?

Blanco Regional Clinic, P.A. is located at 825 4th St, Blanco, TX 78606. The listed phone number is (830) 833-5581.

What is Blanco Regional Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blanco Regional Clinic, P.A. enrolled in Medicare?

Yes. Blanco Regional Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blanco Regional Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Blanco Regional Clinic, P.A.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blanco Regional Clinic, P.A. was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.