DR. DAVIS TUCKER WEAVER MD, PHD
NPI 1174310163
Student in an Organized Health Care Education/Training Program in Brighton, MI

Active since April 22, 2025PECOS Enrolled
8001 CHALLIS RD, BRIGHTON, MI 48116(734) 539-5080 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Davis Tucker Weaver Md, Phd NPPES

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

DR. DAVIS TUCKER WEAVER MD, PHD (NPI 1174310163) is an individual student in an organized health care education/training program in Brighton, Michigan, licensed in Michigan (4351054159) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174310163
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DAVIS TUCKER WEAVERCredential: MD, PHD
Location Address8001 CHALLIS RDBrighton, MI 48116-7446
Mailing Address1540 E Hospital Dr # D3230Ann Arbor, MI 48109-4000 · (734) 647-1774
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1174310163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351054159
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8001 CHALLIS RD, Brighton, MI 48116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Davis Tucker Weaver Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Pediatric Surgery)
8001 CHALLIS RD
BRIGHTON, MI 48116
Pediatrics
8001 CHALLIS RD
BRIGHTON, MI 48116
Nurse Practitioner
8001 CHALLIS RD
BRIGHTON, MI 48116
Student in an Organized Health Care Education/Training Program
8001 CHALLIS RD
BRIGHTON, MI 48116
Student in an Organized Health Care Education/Training Program
8001 CHALLIS RD
BRIGHTON, MI 48116
Internal Medicine
8001 CHALLIS RD
BRIGHTON, MI 48116
Student in an Organized Health Care Education/Training Program
8001 CHALLIS RD
BRIGHTON, MI 48116
Internal Medicine
8001 CHALLIS RD
BRIGHTON, MI 48116

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 Davis Weaver's NPI number?

The NPI number for Davis Weaver is 1174310163. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Davis Weaver located?

Davis Weaver practices at 8001 Challis Rd, Brighton, MI 48116. The listed phone number is (734) 539-5080.

What is Davis Weaver's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Davis Weaver enrolled in Medicare?

Yes. Davis Weaver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Davis Weaver was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.