NPIMap

Brandy C Watson, M.D.

Individual provider Active NPI Internal Medicine Physician · Palestine, TX

NPI 1790996239 · NPPES record last updated Jul 8, 2021

Key facts

NPI
1790996239
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
P1811 (TX)
Practice address
127 Medical Dr
Palestine, TX 75801-4781
Phone
(903) 723-3300
Fax
(903) 723-3308
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 17

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Also: Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christus Trinity Clinic Texas (1,540 clinicians)
North Texas Physician Services, PLLC (236 clinicians)

Practice addresses (Care Compare)

127 Medical Dr
Palestine, TX 75801-4781
Phone (903) 723-3300

18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841

3201 S Loop
Palestine, TX 75801-6901

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Angels Care Home Health Home health agency · Palestine, TX · CCN 458433
  • Heart to Heart Hospice of Tyler LTD Hospice · Tyler, TX · CCN 451756
  • Christus Mother Frances Hospital Hospital · Tyler, TX · CCN 450102
  • Palestine Regional Medical Center Hospital · Palestine, TX · CCN 450747
  • Christus Mother Frances Hospital- Jacksonville Hospital · Jacksonville, TX · CCN 451319
  • Trucare Living Centers Nursing home · Palestine, TX · CCN 676257

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101228000063 TX Practitioner - Internal Medicine
Practitioner - Pediatric Medicine		 4082802533 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P1811TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Physician Services, PLLC Internal Medicine Current
since Jan 14, 2026		 Accepting new patients
Mother Frances Hospital Regional Health Care Center Current
since Mar 1, 2020		 Accepting new patients
Apogee Medical Group Texas PA Internal Medicine Current
since Oct 9, 2012		 Accepting new patients
Mother Frances Hospital Jacksonville Current
since Mar 1, 2020		 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine Current
since Jul 1, 2017		 Accepting new patients
Trincare Inc Current Accepting new patients
Christus Trinity Clinic Texas Current
since Jul 1, 2017		 Accepting new patients
Michael S. Gorby, M.D.P.a. Internal Medicine Current Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Palestine Principal Healthcare Limited Partnership Past Accepting new patients

Locations

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330

127 Medical Dr
Palestine, TX 75801
Phone (903) 723-3300

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

1021 S Sycamore St
Palestine, TX 75801
Phone (903) 723-2547

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: brandy_ricard_-physician@yourcarecommunity.org
  • Direct secure messaging: bwatson148644@christushealth.direct-ci.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P1811 TX
Internal Medicine Physician 207R00000X P1811 TX Yes

Addresses

Primary practice location

127 Medical Dr
Palestine, TX 75801-4781

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other names

  • Brandy M Statham Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2021.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1790996239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014781",
            "telephone_number": "903-723-3300",
            "fax_number": "903-723-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRANDY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1811",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "STATHAM",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palestine, TX

All providers in Palestine, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.