BRYAN WILSON (NPI# 1679907984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679907984 |
| Entity Type | Individual |
| Full Name | BRYAN WILSON |
| Credential | ED.S., NCSP |
| Practice Address |
111 Fayette Ave Fayetteville WV 25840-1219 |
| Practice Telephone | 3045741176 |
| Practice Fax Number | 3045744109 |
| Mailing Telephone | 3045741176 |
| Mailing Fax Number | 3045744109 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
N3R136200287 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205182110 | Bryan Mark Wilson | Pharmacist | 501 Se 18th Avenue, Boynton Beach, FL 33435 | 2012-07-28 |
| 1093881534 | Bryan Ocsar Wilson | Dentist | 836 Farmington Ave # St.215, West Hartford, CT 06119-1505 | 2006-11-27 |
| 1750452249 | Bryan Jeffrey Wilson | Dentist | 2172 Robinson St, Oroville, CA 95965-4937 | 2006-11-13 |
| 1447888045 | Bryan Paul Wilson | Social Worker | 500 Jackson St, Roanoke Rapids, NC 27870-2602 | 2020-03-30 |
| 1518329887 | Bryan Scott Wilson | Psychiatry & Neurology | 265 Griffin St E, Amery, WI 54001-1439 | 2016-03-24 |
| 1972985299 | Bryan Richard Wilson | Emergency Medicine | 801 Ostrum St, Bethlehem, PA 18015 | 2015-06-23 |
| 1366860314 | Bryan James Wilson | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-06 |
| 1013332915 | Bryan Wilson | Internal Medicine | 9040 Jackson Ave, Tacoma, WA 98431-2869 | 2014-02-28 |
| 1134567415 | Bryan Zoran Wilson | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
| 1336425685 | Bryan Adam Wilson | Physical Therapy Assistant | 515 Main St, Olean, NY 14760-1513 | 2011-11-01 |
| Street Address |
111 FAYETTE AVE |
| City | FAYETTEVILLE |
| State | WV |
| Zip Code | 25840-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
| 1457981136 | Barbara Jean Ann Jordan | Psychologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2020-01-22 |
| 1891339925 | Allison Kincaid | Registered Nurse | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2019-11-01 |
| 1952886111 | Carla Middleton | Registered Nurse | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2018-10-03 |
| 1306357173 | Andrea R Bradford | Speech-Language Pathologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2017-10-19 |
| 1487164521 | Stephanie L Neal | Registered Nurse | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2017-10-03 |
| 1265860555 | Ariel Turner | Speech-Language Pathologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2013-10-23 |
| 1912332768 | Heather Dawn Cartwright | Occupational Therapist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2013-09-12 |
| 1487908760 | Eryn Mason | Speech-Language Pathologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2012-11-07 |
| 1710250667 | Brooke Sapp | Occupational Therapist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2012-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
| 1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
| 1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
| 1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
| 1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
| 1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
| 1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
| 1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
| 1992165039 | Lori Atkins | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-02 |
| Find all providers in zip 25840 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059824 | Logan Sheets | Psychologist | 370 N Drewrys Bluff Dr, Fayetteville, AR 72704-7103 | 2020-10-07 |
| 1629557053 | Brittany Noel Hall | Psychologist | 521 S Apple St, Fayetteville, OH 45118-8461 | 2018-08-07 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| 1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1588292973 | Brittany Moore | Psychologist | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2020-03-31 |
| 1023311933 | Neely Snead Harvey | Psychologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2010-12-15 |
| 1427226067 | David Gene Sweet | Psychologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2008-02-18 |
| 1457549206 | Bobbie Mae Mcclung | Psychologist | 111 Fayette Ave, Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1427176023 | Robert Joseph Kohlbrenner | Psychologist | 6838 E Genesee St, Fayetteville, NY 13066-1029 | 2007-03-26 |
| 1447266531 | Sandra L. Smith | Psychologist | 7000 E Genesee St, Bldg.c, Fayetteville, NY 13066-1131 | 2006-07-31 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 25840 |
Please comment or provide details below to improve the information on BRYAN WILSON.
| 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.