NPIMap

Individual provider Active NPI

Brooks Watson II, M.D.

  • Internal Medicine Physician
  • Kennewick, WA
National Provider Identifier
1063451763
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00042838 Issued in WA
Practice address
8220 W Gage Blvd
750
Kennewick, WA 99336-8113
Phone
(509) 554-0317
Fax
(509) 628-2951
NPI assigned
Jun 6, 2006
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00042838 WA Primary
Hospitalist Physician 208M00000X MD00042838 WA

Addresses

Primary practice location

8220 W Gage Blvd
750
Kennewick, WA 99336-8113

Mailing address

2100 Bellerive Dr
#198
Richland, WA 99352-8807
Phone (509) 554-0317

Other identifiers 2

IdentifierTypeStateIssuer
1306897681OtherWAPROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
8376162MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423001359 WA Practitioner - Internal MedicinePractitioner - Hospitalist 7911891205 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians

Practice addresses (Care Compare)

2004 N 22ND Ave
Pasco, WA 99301-3313
Phone (509) 547-8811

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39676TXMDClinical Psychologist
MD00042838WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Pacs 2 PC Hospitalist CurrentSince Dec 1, 2020 Accepting new patients
Washington Pac Services PC Hospitalist CurrentSince Dec 1, 2020 Accepting new patients
CS Pacs 3 Northwest, LLC Hospitalist CurrentSince Sep 28, 2024 Accepting new patients
RCCH Trios Health LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Oct 26, 2020 Accepting new patients
Garden Village Past Accepting new patients
Avalon Care Center-Pasco LLC Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
RCCH Trios Health LLC Past Accepting new patients
Richland Medical Investors, LLC Past Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients
Tri Cities Community Health Past Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine Past Accepting new patients

Locations

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

2702 S Ely St
Kennewick, WA 99337
Phone (509) 582-0520

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

2004 N 22nd Ave
Pasco, WA 99301
Phone (208) 995-1122

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avalon Health and Rehabilitation Center-PascoPasco, WA, CCN 505126 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Life Care Center of RichlandRichland, WA, CCN 505070 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 7, 2024
Mar 10, 2025
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2025
Aug 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1063451763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BELLERIVE DR",
            "address_2": "#198",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528807",
            "telephone_number": "509-554-0317",
            "fax_number": "509-628-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 W GAGE BLVD",
            "address_2": "750",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368113",
            "telephone_number": "509-554-0317",
            "fax_number": "509-628-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BROOKS",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00042838",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00042838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY",
            "identifier": "1306897681",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8376162",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.