Organization Active NPI

Watson Orthodontic Specialist of the Brazos Valley

  • Dental Clinic/Center
  • Bryan, TX
National Provider Identifier
1730401605
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7872 Issued in TX
Legal business name
WATSON ORTHODONTIC SPECIALIST OF THE BRAZOS VALLEY
Practice address
2400 Broadmoor Dr
Bryan, TX 77802-2801
Phone
(979) 776-2114
Fax
(979) 776-5259
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Dr. James Garland Watson, DDS, MSD
Title
Owner
Phone
(979) 776-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7872 TX Primary

Addresses

Primary practice location

2400 Broadmoor Dr
Bryan, TX 77802-2801

Mailing address

2400 Broadmoor Dr
Bryan, TX 77802-2801
Phone (979) 776-2114

National Provider Directory

National Provider Directory

Locations

2400 Broadmoor Dr
Bryan, TX 77802
Phone (979) 776-2114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1730401605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BROADMOOR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022801",
            "telephone_number": "979-776-2114",
            "fax_number": "979-776-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BROADMOOR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022801",
            "telephone_number": "979-776-2114",
            "fax_number": "979-776-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON ORTHODONTIC SPECIALIST OF THE BRAZOS VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GARLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-776-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.