Spurgeon D Weaver, BMS
Counselor in Clovis, NM. Individual provider (NPI-1).
NPI number1013140367
StatusActive
Last updated in NPPESSep 2, 2009
Details
- NPI
- 1013140367
- Entity type
- Individual (NPI-1)
- Name
- Spurgeon D Weaver
- Credential
- BMS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2009
- Last updated
- Sep 2, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
121 Townsgate PlzClovis, NM 88101-3714
Phone 575-742-2620
Mailing address
Po Box 28220Santa Fe, NM 87592-8220
Phone 505-471-5006 · Fax 505-820-9220
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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