BRANDON ROSS WILSON (NPI# 1336491588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336491588 |
| Entity Type | Individual |
| Full Name | BRANDON ROSS WILSON |
| Credential | PA |
| Practice Address |
3726 Broadway Ste 201 Everett WA 98201-3788 |
| Practice Telephone | 4253179119 |
| Practice Fax Number | 4253179118 |
| Mailing Telephone | 4253179119 |
| Mailing Fax Number | 4253179118 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2012-0050 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775414 | Brandon James Wilson | Physician Assistant | Uscg Base Kodiak Rockmore-king Clinic, 200 Albatross Ave Bldg N-46, Kodiak, AK 99615-6810 | 2019-02-09 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1407199037 | Brandon Wilson | Chiropractor | 1561 E Sandalwood Dr, South Weber, UT 84405-9814 | 2013-04-02 |
| 1881862605 | Brandon B Wilson | Chiropractor | 425 Old Newman Rd Ste 100, Frisco, TX 75036-4773 | 2008-02-14 |
| 1689207292 | Brandon Wilson | Nurse Practitioner | 1069 Delaware Ave, Marion, OH 43302-1400 | 2020-02-21 |
| 1659874246 | Brandon Nicholas Wilson | Physical Therapist | 1351 Fowler St, Richland, WA 99352-4714 | 2018-03-09 |
| 1003347576 | Brandon Daniel Wilson | General Practice | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2017-03-25 |
| 1285056770 | Brandon Wilson | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2014-01-17 |
| 1083921191 | Brandon Maray Wilson | Obstetrics & Gynecology | 1120 S Utica Ave, Suite G100, Tulsa, OK 74104-4012 | 2010-09-10 |
| 1952620502 | Brandon T Wilson | Counselor | 1111 W Fir St, Portales, NM 88130-5826 | 2010-05-21 |
| Street Address |
3726 BROADWAY STE 201 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356326870 | Donald William Henline | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2005-12-07 |
| 1427521376 | Britni Tyne Manos | Occupational Therapy Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2019-01-03 |
| 1013493998 | Michael James Oliver | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2018-07-13 |
| 1275027781 | Lindsay Portz | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2018-06-18 |
| 1780122242 | Kristen Nicole Burke | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2017-02-05 |
| 1871038109 | Derek Henderson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2016-12-22 |
| 1699195990 | Mithun Neral | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2014-04-24 |
| 1558609578 | Julie Lorraine Patterson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2013-01-25 |
| 1487990362 | Yury Filitovich | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2012-12-20 |
| 1336439116 | Tyler Kent | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201 | 2011-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521956 | Juliana Martins | Physician Assistant | 31 Freeman Ave, Everett, MA 02149-5204 | 2020-06-05 |
| 1528606324 | Lynda Lee Consolo | Physician Assistant | 18 Woodlawn Ave, Everett, MA 02149-5417 | 2019-12-12 |
| 1538519202 | Kristen Shafer | Physician Assistant | 2038 Winding Ridge Rd, Everett, PA 15537-4274 | 2016-06-14 |
| 1588098909 | Lidia Yemchuk | Physician Assistant | 4201 Rucker Ave, Everett, WA 98203-2215 | 2013-08-22 |
| 1134426133 | Anthony Joseph Danna | Physician Assistant | 103 Garland St Emergency Department, Everett, MA 02149-5066 | 2011-02-28 |
| 1902058019 | Matthew James Slater | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2008-10-21 |
| 1417133216 | Patricia Ann Buehler | Physician Assistant | 3726 Broadway Ste 101, Everett, WA 98201-3787 | 2008-01-11 |
| 1558404814 | Margarita G Burdetsky | Physician Assistant | 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471 | 2007-02-15 |
| 1427127158 | Marcy Jo Herzog | Physician Assistant | 185 Hospital Dr Ste 1, Everett, PA 15537-7018 | 2006-11-07 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| Find all providers in EVERETT | ||||
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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.