Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Lee Waterman, DO

Individual provider Procedural Dermatology Physician · NPI 1982632527

Dr. Gary Lee Waterman, DO is a Dermatology in Middletown, Rhode Island. Qualified in 1983, 43 years ago. Practices with Bobby Buka, MD, PC, a 143-clinician group and accepts Medicare assignment. Licensed in Florida, Pennsylvania and Rhode Island.

Years since qualifying
43
Licensed in
FL, PA, RI
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

102 Valley Rd
Middletown, RI 02842-5237
Phone: (401) 239-1800
Fax: (401) 239-1793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS005797L (PA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence OS 4781 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence DO01051 (RI)

Record details

NPI number1982632527
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address102 Valley Rd, Middletown, RI 02842-5237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Bobby Buka, M.D., P.C. — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount