Individual provider Active NPI

Charles Martin Watson, PH.D., D.O.

  • Internal Medicine Physician
  • Butte, MT
National Provider Identifier
1124065792
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13625 Issued in MT
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

Updated by the provider on Jul 10, 2023

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 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

TypeEndpointUseAffiliation
Direct Messaging Address cwatson236377@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110221000939 OR Practitioner - Internal Medicine 1456532639 Reassigns benefits to 1 organization
I20120327000895 MT Practitioner - HospitalistPractitioner - Internal Medicine 1456532639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
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 CGroup PAC ID 4486712833, 82 clinicians
CMSC LLCGroup PAC ID 5890602494, 92 clinicians

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 Hospital, Great Falls, MT, CCN 270086
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Logan Health - Shelby Hospital, Shelby, MT, CCN 271328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
13625MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMSC, LLC CurrentSince Apr 19, 2023 Accepting new patients
Hospitalist Medicine Physicians of Montana - TCS PC Internal Medicine CurrentSince Feb 12, 2022 Accepting new patients
Cogent Healthcare of Montana P C Internal Medicine CurrentSince Nov 1, 2015 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.

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

Verify at the official NPI Registry.