DR. BRYAN LEE WATSON D.O. NPI 1508097015

NPI Information

  • NPI: 1508097015
  • Provider Name: DR. BRYAN LEE WATSON, D.O.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 323 CLOVERLEAF SQ
    #1
    BIG STONE GAP, VA
    ZIP 24219
  • Phone: (276) 523-6715

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NPI Details

DR. Bryan Lee Watson, D.O. is an internal medicine in Big Stone Gap, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Bryan Lee Watson, D.O. NPI is 1508097015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

323 CLOVERLEAF SQ
#1
BIG STONE GAP, VA
ZIP 24219-760
Phone: (276) 523-6715
Fax: (276) 523-6719

The NPI 1508097015 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 9/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine0102202658VIRGINIANo
2207R00000XInternal Medicine03406KENTUCKYNo
3207R00000XInternal Medicine0116021762VIRGINIANo
4207R00000XInternal Medicine0102202658VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K045690MEDICARE PINKENTUCKY
21522495MEDICAIDTENNESSEE
37100137290MEDICAIDKENTUCKY
47617286MEDICAIDNORTH CAROLINA
5V V7184BMEDICARE PINVIRGINIA
61508097015MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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