BRANDON WILSON


Address: 5601 Lochraven Blvd, Baltimore, MD 21239
Phone: 4437526164

BRANDON WILSON (NPI# 1902381353) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
CN06974 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRANDON WILSON

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

Office Location

Street Address 5601 LOCHRAVEN BLVD
City BALTIMORE
State MD
Zip Code 21239

Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City BALTIMORE
Zip Code 21239

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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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