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DR. NIC EDWARD WATSON M.D. NPI 1760822795


NPI Information

NPI: 1760822795
Provider Name: DR. NIC EDWARD WATSON, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: BARFISH EMERGENCY PHYSICIANS LLC

PECOS Registration: Yes

Address:
4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226
Phone: (618) 233-7750
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DR. Nic Edward Watson, M.D. is an emergency medicine in Belleville, IL with 11 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Nic Edward Watson, M.D. NPI is 1760822795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226-360
Phone: (618) 233-7750
Fax: (314) 577-8516

The NPI 1760822795 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 7/5/2013 and was last updated on 6/17/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine036139973ILLINOISYes
2207PE0004XEmergency MedicineEmergency Medical Services336101357ILLINOISNo

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: 11/14/2023

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.