BRADLEY CLARK WILSON


Address: 2005 Ashland Ave, Toledo, OH 43620-1703
Phone: 4198417701

BRADLEY CLARK WILSON (NPI# 1366078990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366078990
Entity Type Individual
Full Name BRADLEY CLARK WILSON
Practice Address 2005 Ashland Ave
Toledo
OH 43620-1703
Practice Telephone 4198417701
Enumeration Date 2020-03-16
Last Update Date 2020-03-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers BRADLEY WILSON

NPI Name Taxonomy Address Enumeration
1235519984 Bradley Craig Wilson Military Health Care Provider 2807 Montclair Ave, Pascagoula, MS 39567-5287 2015-06-08
1699061598 Bradley Paul Wilson Student in an Organized Health Care Education/Training Program 349 17th Ave, San Francisco, CA 94121-2312 2011-06-20
1407084791 Bradley Allen Wilson Urology 500 E Robinson Suite 1300, Norman Urology Associates, PC, Norman, OK 73071-6694 2009-06-25
1053329185 Bradley Rix Wilson Dentist 2077 S Gessner Rd, Suite 125, Houston, TX 77063-1147 2006-08-04
1528046141 Bradley A Wilson Surgery 1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 2006-01-04
1225020878 Bradley C Wilson Family Medicine 7756 State Route 37 E, New Lexington, OH 43764-9512 2005-08-19
1508339987 Bradley Russell Wilson Nurse Practitioner 22101 Moross Rd, Detroit, MI 48236-2148 2019-01-08
1386985133 Bradley W Wilson Nurse Anesthetist, Certified Registered 300 North Ave, Battle Creek, MI 49017-3307 2013-03-04
1609130954 Bradley Lyle Wilson Family Medicine 4771 S Cleveland Ave, Fort Myers, FL 33907 2012-07-02
1174810824 Bradley Jay Wilson Radiology 11800 E 12 Mile Rd, Warren, MI 48093-3472 2011-07-01

Office Location

Street Address 2005 ASHLAND AVE
City TOLEDO
State OH
Zip Code 43620-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598700445 Liberty Nursing Center of Toledo, Inc Skilled Nursing Facility 2005 Ashland Ave, Toledo, OH 43620-1703 2006-06-17
1033710660 Michael James Erskine Counselor 2005 Ashland Ave, Toledo, OH 43620-1703 2020-11-02
1679174213 Angenae Zaahir-bey Counselor 2005 Ashland Ave, Toledo, OH 43620-1703 2020-11-02
1568061968 Regina Hudsonlewis Case Manager/Care Coordinator 2005 Ashland Ave, Toledo, OH 43620-1703 2020-10-19
1003421363 Kiana Cole Case Manager/Care Coordinator 2005 Ashland Ave, Toledo, OH 43620-1703 2020-09-14
1457965139 Walaa Jalal Kanan Social Worker 2005 Ashland Ave, Toledo, OH 43620-1703 2020-09-01
1952911224 Brianna Jones Case Manager/Care Coordinator 2005 Ashland Ave, Toledo, OH 43620-1703 2020-08-03
1194343517 Amber Rhea Hayes Licensed Practical Nurse 2005 Ashland Ave, Toledo, OH 43620-1703 2020-07-13
1841817624 Melissa Ann Monhollen Case Manager/Care Coordinator 2005 Ashland Ave, Toledo, OH 43620-1703 2020-06-29
1255955431 Destiny Lynn Perez Licensed Practical Nurse 2005 Ashland Ave, Toledo, OH 43620-1703 2020-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939148 Jennifer Lawson Case Manager/Care Coordinator 2283 Ashlnd Ave., Toledo, OH 43620 2020-07-16
1942838404 Emma L Mason Student in an Organized Health Care Education/Training Program Fcc-ob/gyn, 2213 Franklin St, Toledo, OH 43620 2020-03-31
1932762093 Leela Miriyala Student in an Organized Health Care Education/Training Program Mercy Family Care Centre, 2213 Franklin Ave, Toledo, OH 43620 2019-04-15
1144726563 Kelly Hildebrandt Student in an Organized Health Care Education/Training Program Mercy Health Pediatrics, 2213 Franklin Ave., Toledo, OH 43620 2018-04-04
1447754601 Ansam Qaddoori Hasan Student in an Organized Health Care Education/Training Program Mercy Health Pediaterics, 2213 Franklin Ave, Toledo, OH 43620 2018-03-22
1730683038 Rizwan Ishtiaq Student in an Organized Health Care Education/Training Program Mercy Family Care Center, 2213 Franklin Ave, Toledo, OH 43620 2018-03-21
1205338019 Celia Marie Camardo Russo Student in an Organized Health Care Education/Training Program 2213 Franklin Street, Fcc-ob/gyn, Toledo, OH 43620 2018-03-07
1326547704 Andrew Greene Student in an Organized Health Care Education/Training Program 2213 Franklin St, Fcc-ob/gyn, Toledo, OH 43620 2018-02-12
1073048096 Akshita Singh Internal Medicine 2213 Franlklin Ave, 2nd Floor, Toledo, OH 43620 2017-04-27
1972038578 Vanaja Theepa Sivakumar Student in an Organized Health Care Education/Training Program Mercy Health Franklin Avenue Pediatrics, 2213 Franklin St., Toledo, OH 43620 2017-04-21
Find all providers in zip 43620

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072815 Brandon Thomas Case Manager/Care Coordinator 111 S Byrne Rd, Toledo, OH 43615-6212 2020-10-27
1497355952 Allen Richardson Case Manager/Care Coordinator 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 2020-10-26
1881209104 Jessica Rentner Case Manager/Care Coordinator 2440 South Ave, Toledo, OH 43609-1611 2020-09-14
1154939148 Jennifer Lawson Case Manager/Care Coordinator 2283 Ashlnd Ave., Toledo, OH 43620 2020-07-16
1508484957 Lucynthia Dawn Jones Case Manager/Care Coordinator 2910 W Central Ave, Toledo, OH 43606-7702 2020-07-13
1952927790 Jarmara Anderson Case Manager/Care Coordinator 420 Madison Ave Ste 550, Toledo, OH 43604-1272 2020-06-17
1518507219 Malcolm Banks Case Manager/Care Coordinator 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 2020-01-10
1659910784 Mariah Marcedes Garcia Liggins Case Manager/Care Coordinator 500 Madison Ave Ste 500, Toledo, OH 43604-1210 2020-01-06
1821634643 Shawn Tompkins Jr. Case Manager/Care Coordinator 3450 Central, Sutiee 366 E, Toledo, OH 43606 2019-11-27
1134764434 Pamela Dianna Welch Case Manager/Care Coordinator 2928 Algonquin Pkwy Lowr, Toledo, OH 43606-3747 2019-11-10
Find all providers in TOLEDO

Competitor

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City TOLEDO
Zip Code 43620

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Dataset Information

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.

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