NPIMap

Individual provider Active NPI

Brent E Watson, MD

  • Internal Medicine Physician
  • Spencer, WV
National Provider Identifier
1447212790
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20497 Issued in WV
Practice address
200 Hospital Dr
Spencer, WV 25276-1050
Phone
(304) 927-6822
Fax
(304) 927-6807
NPI assigned
Apr 3, 2006
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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 20497 WV Primary
Pediatrics Physician 208000000X 20497 WV

Addresses

Primary practice location

200 Hospital Dr
Spencer, WV 25276-1050

Mailing address

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-6822

Other identifiers 2

IdentifierTypeStateIssuer
1805978000MedicaidWV
7339671OtherWVMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000007 WV Practitioner - Emergency MedicinePractitioner - Internal Medicine 4183659048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Jun 1, 2005 Accepting new patients
Hospital Development Co Internal Medicine CurrentSince Jun 1, 2005 Accepting new patients
Hospital Development Co CurrentSince Dec 4, 2025 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients
National Emergency Services West Virginia Inc Past Accepting new patients
Hospital Development Co Past Accepting new patients

Locations

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Roane General HospitalSpencer, WV, CCN 511306 Hospital W-2 Managing Employee Mar 10, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1447212790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6822",
            "fax_number": "304-927-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6822",
            "fax_number": "304-927-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRENT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "20497",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "20497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805978000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7339671",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.