Brad Allen Watson (NPI# 1689116097, PAC ID# 2466733050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689116097 |
| PAC ID by PECOS | 2466733050 |
| Professional Enrollment ID | I20161219001566 |
| Full Name | Brad Allen Watson |
| Organization Legal Name | MADISONVILLE PRIMARY CARE GROUP |
| Address |
4023 Hwy 411 N Units A and B Madisonville TN 37354-1534 |
| Phone Number | 4234422121 |
| Gender | M |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507037645 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 | 4234422121 | MADISONVILLE PRIMARY CARE GROUP |
| Organization Legal Name | MADISONVILLE PRIMARY CARE GROUP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Y Davis | Nurse Practitioner | Madisonville Primary Care Group | 3959 Hwy 411, Madisonville, TN 37354-4417 |
| Michael Dwayne Wall | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| Gregory B Cain | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| John Fano Schultze | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| Deletra Michelle Wilke | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| Street Address |
4023 HWY 411 N UNITS A AND B |
| City | MADISONVILLE |
| State | TN |
| Zip | 37354-1534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Dwayne Wall | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| Gregory B Cain | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| John Fano Schultze | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| Deletra Michelle Wilke | Physician Assistant | Madisonville Primary Care Group | 4023 Hwy 411 N, Units A and B, Madisonville, TN 37354-1534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey D Beverley | Family Medicine | Sandt Beverley LLC | 321 Tellico S St, Madisonville, TN 37354-1194 |
| Heide A Fisher | Physician Assistant | Sandt Beverley LLC | 321 Tellico S St, Madisonville, TN 37354-1194 |
| Daniel E Long | Physical Therapy | Daniel Long | 520 Cook St, Suite D, Madisonville, TN 37354-1533 |
| Shannon R Scoggins | Physical Therapy | Daniel Long | 520 Cook St, Suite D, Madisonville, TN 37354-1533 |
| Amy E Woody | Speech Language Pathologist | Daniel Long | 520 Cook St, Suite D, Madisonville, TN 37354-1533 |
| Tara K Mullen | Optometry | 4525 Hwy 411 B, Madisonville, TN 37354-1537 | |
| Jason Richard Taylor | Physical Therapy | Independent Physical Therapy LLC | 4249 Hwy 411, Suite 4, Madisonville, TN 37354-1544 |
| Nicole Marie Cresswell | Physical Therapy | Independent Physical Therapy LLC | 4249 Hwy 411, Suite 4, Madisonville, TN 37354-1544 |
| Julie A Sutter | Clinical Social Worker | Access Medical Care of Monroe County PC | 4233 Hwy 411, Madisonville, TN 37354-1571 |
| Jan Stewart | Clinical Social Worker | Access Medical Care of Monroe County PC | 4233 Hwy 411, Madisonville, TN 37354-1571 |
| Find all physicians in zip 37354 | |||
| City | MADISONVILLE |
| Zip Code | 37354 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MADISONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brad Allen Watson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.