BRENT WILKERSON (NPI# 1407167489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407167489 |
| Entity Type | Individual |
| Full Name | BRENT WILKERSON |
| Credential | M.D. |
| Practice Address |
30055 Northwestern Hwy Ste 101 Farmington Hills MI 48334 |
| Mailing Address |
30055 Northwestern Hwy Ste 101 Farmington Hills MI 48334-3260 |
| Practice Telephone | 2488654135 |
| Mailing Telephone | 2488654135 |
| Mailing Fax Number | 9167035011 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
4301108235 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2521 Stockton Blvd Ste 7200, Sacramento, CA 958172207 | 9167348157 | 9167035011 |
| Street Address |
30055 NORTHWESTERN HWY STE 101 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922268119 | Candice Colleen Colby-scott | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334 | 2008-06-11 |
| 1629690466 | Jasmin Lucia Martinez | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2020-05-14 |
| 1114571460 | Elise Patricia Drager | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2019-07-25 |
| 1912469974 | Michigan Ear Institute Pllc | Physical Therapist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2019-04-01 |
| 1669971677 | Binaifer Bugli | Physical Therapist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2018-02-05 |
| 1992218440 | Hollis Taylor Leidy | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2017-11-07 |
| 1053832998 | Jaclyn Marie-rowlett Renker | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2017-06-30 |
| 1265884878 | Danielle Marie Bennett | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2016-07-07 |
| 1053787549 | Ryan Michael Benninger | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2015-08-19 |
| 1003297847 | Sally Joyce Tuovila | Audiologist | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922268119 | Candice Colleen Colby-scott | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334 | 2008-06-11 |
| 1255774246 | Dennis Isaac Bojrab II | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2013-04-09 |
| 1972895472 | Christopher Andrew Schutt | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2011-05-03 |
| 1568575215 | Michigan Ear Institute Pllc | Otolaryngology | 30055 Northwestern Hwy, Suite 101, Farmington Hills, MI 48334-3230 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114122165 | Derek J Handzo | Otolaryngology | 11080 Hall Rd Ste A, Sterling Heights, MI 48314-1511 | 2007-06-19 |
| 1457578106 | Eleanor Yuk-yin Chan | Otolaryngology | 1135 W University Dr Ste 440, Rochester, MI 48307-1897 | 2007-04-20 |
| 1831145523 | Valley Ent Associates PC | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-05-25 |
| 1174755284 | Hugo K. Roesler,m.d., P.C. | Otolaryngology | 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 | 2009-08-23 |
| 1760649925 | St. Vincent Mercy Medical Center | Otolaryngology | 100 Powell Dr, Suite 4, Dundee, MI 48131-8644 | 2008-05-16 |
| 1952509648 | Gerhard William Hill IIi | Otolaryngology | 1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp G, Ann Arbor, MI 48109-5312 | 2007-07-05 |
| 1659464782 | Robert E Brammer | Otolaryngology | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2006-10-02 |
| 1821016098 | Matthew C Farrugia | Otolaryngology | 25500 Meadowbrook Rd, Ste 220, Novi, MI 48375-1878 | 2006-07-17 |
| 1104865724 | Keith E. Scharf | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-06-06 |
| 1477592079 | Richard K. Louden | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.