Bruce Watson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14229 Issued in FL

Practice address

5750 Highway 90
Milton, FL 32583-1742

Phone

(850) 623-2991

Fax

(850) 983-9053

NPI assigned

Nov 8, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 24, 2016 through May 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Watson Family Dentistry

  • General Practice Dentistry
  • Milton, FL
  • NPI 1568407872
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1235319104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 HIGHWAY 90",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325831742",
            "telephone_number": "850-623-2991",
            "fax_number": "850-983-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 HIGHWAY 90",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325831742",
            "telephone_number": "850-623-2991",
            "fax_number": "850-983-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Delphine Washington, FNP
• Rebecha Waterhouse
• Skyler Avery Watkins, MA
• Watson Family Dentistry
• Brett Watson, DMD
• Hannah Watson
• James Mark Watson, MD
• Jarred Scott Watson, DPT
• Watsonn Alternative Health & Weight Loss Center, Inc.
• Leah Weber

• General Practice Dentistry in Milton, FL
• Providers in Milton, FL by specialty
• General Practice Dentistry in Florida

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

Verify at the official NPI Registry.