Individual provider Active NPI

James Bernard Watson, DO

  • Addiction Medicine (Family Medicine) Physician
  • Norristown, PA
National Provider Identifier
1366544710
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OS010947L Issued in PA
Practice address
31 E Fornance St
Norristown, PA 19401-3311
Phone
(610) 292-9547
Fax
(610) 292-9548
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010947L PA
Addiction Medicine (Family Medicine) Physician 207QA0401X OS010947L PA Primary

Addresses

Primary practice location

31 E Fornance St
Norristown, PA 19401-3311

Mailing address

31 E Fornance St
Norristown, PA 19401-3311
Phone (610) 292-9547

Other identifiers 1

IdentifierTypeStateIssuer
0018638870003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040823001046 PA Practitioner - Addiction MedicinePractitioner - Family Practice 7012981319 Reassigns benefits to 1 organization
Practice locations: Norristown, PA

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2418 E York St
Dr. James Watson
Philadelphia, PA 19125-3006
Phone (610) 292-9549

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness PC Addiction Medicine CurrentSince Dec 12, 2023 Accepting new patients
Vivify LLC Family Medicine Past Accepting new patients
Enps Mercy Primary Care at Plymouth Meeting Family Medicine Past Accepting new patients

Locations

31 E Fornance St
Norristown, PA 19401
Phone (610) 292-9547

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

2418 E York St
Ofc
Philadelphia, PA 19125

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1366544710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E FORNANCE ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013311",
            "telephone_number": "610-292-9547",
            "fax_number": "610-292-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E FORNANCE ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013311",
            "telephone_number": "610-292-9547",
            "fax_number": "610-292-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMES",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010947L",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS010947L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018638870003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.