Active NPI
Charles Martin Watson, PH.D., D.O.
- Internal Medicine Physician
- Butte, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13625
- Practice address
- 400 S Clark St
Butte, MT 59701-9756 - Phone
- (406) 723-2781
- Fax
- (406) 723-2480
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP60225814 | WA | |
| Internal Medicine Physician | 207R00000X | 13625 | MT | Primary |
Addresses
Primary practice location
400 S Clark St
Butte, MT 59701-9756
Mailing address
640 Big Flat Rd
Missoula, MT 59804-9210
Phone (406) 728-5190
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwatson236377@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110221000939 | OR | Practitioner - Internal Medicine | 1456532639 | Reassigns benefits to 1 organization |
| I20120327000895 | MT | Practitioner - Hospitalist | 1456532639 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of New England, College of Osteo Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cogent Healthcare of Montana P CCMSC LLC
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-4690
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000
Hospital & facility affiliations
- Great Falls Clinic Hospital
- Benefis Hospitals Inc
- Logan Health - Shelby
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13625 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMSC, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Montana - TCS PC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Montana P C | Internal Medicine | Current | Accepting new patients |
| Allatoona Physician Services PC | Past | Accepting new patients |
Locations
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Missoula, MT
- NPI 1053569525
Internal Medicine, MT
-
- Internal Medicine Physician
- Butte, MT
- NPI 1902567183
Internal Medicine, MT
-
- Hospitalist Physician
- Cartersville, GA
- NPI 1497482350
Hospital & facility affiliations 5
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": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1124065792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 BIG FLAT RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598049210",
"telephone_number": "406-728-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S CLARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019756",
"telephone_number": "406-723-2781",
"fax_number": "406-723-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CHARLES",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PH.D., D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP60225814",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "13625",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwatson236377@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 W Broadway St",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "59802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.