Brent Thomas Watson, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

187506-1205 Issued in UT

Practice address

2132 N 1700 W Ste 230
Layton, UT 84041-7060

Phone

(801) 773-3900

Fax

(801) 773-3900

NPI assigned

Sep 27, 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

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• UT PPO
• UT PPO D-SNP

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.

• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• Davis Hospital Holdings, Inc.

  • Contractor
  • Layton, UT
  • NPI 1851333249
  NPD (past)
• Hofmann Arthritis Institute, PLLC

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1215248612

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225129158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WESTBROOK CIR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371586",
            "telephone_number": "801-589-3177",
            "fax_number": "801-475-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W STE 230",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417060",
            "telephone_number": "801-773-3900",
            "fax_number": "801-773-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 N 2000 W Ste F",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840158563",
            "country_code": "US",
            "telephone_number": "801-773-3900",
            "fax_number": "801-773-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRENT",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "UT",
            "license": "187506-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Washburn, M.D., P.C.
• Malari Irene Wasmer
• Michael L Wasuita, DMD MS
• Rachel Waters
• Kathy L Watkins
• Kody R Watts, DPT
• Shaye Wayman
• We Speak Speech Therapy, LLC
• Jenny Weagle, MS CCC-SLP
• Bert Evans Weaver

• Sports Medicine (Orthopaedic Surgery) Physician in Layton, UT
• Providers in Layton, UT by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.