MR. BRUCE ALLEN WILSON JR. (NPI# 1326530551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326530551 |
Entity Type | Individual |
Full Name | MR. BRUCE ALLEN WILSON JR. |
Credential | MED |
Practice Address |
6821 Yakima Ave Tacoma WA 98408-5514 |
Mailing Address |
9330 59th Ave Sw Lakewood WA 98499-2858 |
Practice Telephone | 2533061028 |
Mailing Telephone | 2536205015 |
Enumeration Date | 2018-06-04 |
Last Update Date | 2020-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801049556 | Bruce Wayne Wilson Jr. | Military Health Care Provider | Uss Nashville, Lpd 13, Fpo, AE 09579-1715 | 2008-10-28 |
1962561290 | Bruce T Wilson | Dentist | 322 Hwy 18, Manila, AR 72442 | 2006-12-06 |
1295826857 | Bruce Edward Wilson | Internal Medicine | 925 Stevens Dr Ste 2e, Richland, WA 99352-3523 | 2006-09-27 |
1538188032 | Bruce Edward Wilson | Nurse Anesthetist, Certified Registered | 3840 Fairway Dr, Lapeer, MI 48446-4302 | 2006-07-18 |
1346294063 | Bruce Taylor Wilson | Dentist | 123 N 19th Street, Middlesboro, KY 40965-1786 | 2006-05-19 |
1295289387 | Bruce Alan Wilson | Pharmacist | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2016-08-07 |
1457667487 | Bruce Leonard Wilson | Internal Medicine | 2073 Klockner Raod, Hamilton, NJ 08690 | 2010-08-27 |
1548313281 | Bruce Leslie Wilson | Psychologist | 153 E Main St, Suite E, Mount Kisco, NY 10549-2317 | 2007-01-18 |
1982761565 | Bruce A. Wilson | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
1093767667 | Bruce Wilson | Physician Assistant | 320 Jefferson St, Whiteville, NC 28472-3602 | 2006-05-16 |
Street Address |
6821 YAKIMA AVE |
City | TACOMA |
State | WA |
Zip Code | 98408-5514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
Find all providers in zip 98408 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382331 | Sabrie Lynn Tramble | Counselor | 4036 S Lawrence St # A, Tacoma, WA 98409-5627 | 2020-10-06 |
1548870488 | Sorya Pao | Counselor | 7028 S Park Ave, Tacoma, WA 98408-5511 | 2020-08-05 |
1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
1982223046 | Celisha Joy Kuhlmann | Counselor | 6409 Tacoma Ave S, Tacoma, WA 98408-6230 | 2020-04-09 |
1811522394 | Bailey and Bailey Counseling and Consultation | Counselor | 2136 Martin Luther King Jr Way Ste 200, Tacoma, WA 98405-3838 | 2020-03-05 |
1992338214 | Kathleen Konzelman | Counselor | 1102 A St Ste 317, Tacoma, WA 98402-5001 | 2020-02-14 |
1780226803 | Dawn Lindsay | Counselor | 2602 N Huson St, Tacoma, WA 98407-3936 | 2019-10-09 |
1043851538 | Lashunda Pitts | Counselor | 2040 E Gregory St Unit B, Tacoma, WA 98404-4723 | 2019-10-05 |
1316596893 | Katherine A Mccaffree | Counselor | 1415 E 72nd St Ste B, Tacoma, WA 98404-5905 | 2019-09-08 |
1659933760 | West Coast Counseling, Pllc | Counselor | 2702 N Proctor St Ste D, Tacoma, WA 98407-5228 | 2019-06-28 |
Find all providers in TACOMA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.