BRANDON WILSON (NPI# 1902381353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902381353 |
Entity Type | Individual |
Full Name | BRANDON WILSON |
Credential | PA-C |
Practice Address |
5601 Lochraven Blvd Baltimore MD 21239 |
Mailing Address |
1468 Strathmore Dr Bel Air MD 21015-6430 |
Practice Telephone | 4437526164 |
Mailing Telephone | 4437526164 |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CN06974 | MD | 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 |
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 |
1336491588 | Brandon Ross Wilson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2012-10-12 |
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 |
5601 LOCHRAVEN BLVD |
City | BALTIMORE |
State | MD |
Zip Code | 21239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
1457582108 | Zaki Abou Zahr | Internal Medicine | 5601loch Raven Blvd, Rmb, Ste. 502, Baltimore, MD 21239 | 2009-07-29 |
Find all providers in zip 21239 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
1467887711 | Laura Zager | Physician Assistant | 227 St. Paul Place, 5th Floor, Weinberg Bldg,, Breast Center At Mercy, Baltimore, MD 21202-2102 | 2013-09-05 |
Find all providers in BALTIMORE |
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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.