MR. JEROME BRADFIELD WATSON GNP NPI 1538162045

NPI Information

  • NPI: 1538162045
  • Provider Name: MR. JEROME BRADFIELD WATSON, GNP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7209 GOLDFINCH RD
    TEXARKANA, TX
    ZIP 75501
  • Phone: (903) 334-8132

Map and Directions

Get Directions

NPI Details

MR. Jerome Bradfield Watson, GNP is a nurse practitioner in Texarkana, TX with 29 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MR. Jerome Bradfield Watson, GNP NPI is 1538162045. 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:

7209 GOLDFINCH RD
TEXARKANA, TX
ZIP 75501-227
Phone: (903) 334-8132
Fax: (903) 334-8146

The NPI 1538162045 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)

The enumeration date for this NPI number is 5/30/2005 and was last updated on 8/2/2024.

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
1363LG0600XNurse PractitionerGerontology605190TEXASNo
2363L00000XNurse PractitionerAP108606TEXASYes

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
1100082540AMEDICAIDOKLAHOMA
2500004259OTHERTEXASRAILROAD MEDICARE
3P00267929OTHERTEXASTX RAILROAD MEDICARE
4029325001MEDICAIDTEXAS
55U081OTHERARKANSASMEDICARE - LEGACY NUMBER
6145430758MEDICAIDARKANSAS
7160262762MEDICAIDARKANSAS
829325004MEDICAIDTEXAS
9029325002MEDICAIDTEXAS
10500004259OTHERARKANSASRAILROAD MEDICARE
118D9579OTHERTEXASMEDICARE - LEGACY NUMBER

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.