Brooke Elizabeth Watson (NPI# 1114402153, PAC ID# 9234477696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114402153 |
| PAC ID by PECOS | 9234477696 |
| Professional Enrollment ID | I20190208002136 |
| Full Name | Brooke Elizabeth Watson |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
| Phone Number | 8438474946 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9931105046 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 8438474946 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 | 8435760700 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| 295 Midland Pkwy, Summerville, SC 29485-8104 | 8437977000 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| 120 Medical Park Dr, Walterboro, SC 29488-5719 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Kalv | Orthopedic Surgery | Coastal Carolina Multispecialty Associates LLC | 295 A Midland Pkwy, Suite 260, Summerville, SC 29485-5901 |
| Christine Philbrick Brusman | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9304 Medical Plaza Dr, Suite D, Charleston, SC 29406-9143 |
| Todd L Allen | Obstetrics/gynecology | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Diana D Axiotis | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Michael Michel | General Surgery | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| David C Blease | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Robbie H Taha | Internal Medicine | Coastal Carolina Multispecialty Associates LLC | 120 Medical Park Dr, Walterboro, SC 29488-5719 |
| Karl D Stiegler | General Surgery | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Beth Damato | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9313 Medical Plaza Dr, Charleston, SC 29406-9155 |
| Street Address |
9330 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip | 29406-9104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Del Valle | Anesthesiology | Trident Anesthesia Group LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Drew P Cardwell | Certified Registered Nurse Anesthetist (crna) | Trident Anesthesia Group LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Yevgeniy Gelfand | Internal Medicine | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Rima P Patel | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Fritz E Jean-gilles | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Farnel F Backer | Family Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Holly B Miller | Physician Assistant | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Emily Whitman | Physician Assistant | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Christopher W Phillips | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | CHARLESTON |
| Zip Code | 29406 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLESTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brooke Elizabeth 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.