Richard Bradford Watson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

042-0009490 Issued in VT

Practice address

130 Fisher Rd
Central Vermont Medical Center
Berlin, VT 05602-9516

Phone

(802) 371-4257

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University of Vermont Medical Center Inc

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment
• Central Vermont Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Berlin, VT
  • NPI 1386663474
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225057300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056730297",
            "telephone_number": "802-496-6161",
            "fax_number": "802-496-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-371-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RICHARD",
        "middle_name": "BRADFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "042-0009490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1606",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00029486",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington County Mental Health Services, Inc.
• Washington County Mental Health Services, Inc.
• Washington County Mental Health Services, Inc.
• Washington County Mental Health Services, Inc.
• Allison Leigh Wasson, D.O.
• Leslie Diane Weed Fonner, LICSW
• August J Weems
• Donald N Weinberg, M.D.
• Mischa G. Weisman, BA
• Peter T Weller, MD

• Anesthesiology Physician in Berlin, VT
• Providers in Berlin, VT by specialty
• Anesthesiology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.