Creighton G Wilson Jr. (NPI# 1871889618, PAC ID# 2466620802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871889618 |
| PAC ID by PECOS | 2466620802 |
| Professional Enrollment ID | I20110729000310 |
| Full Name | Creighton G Wilson Jr. |
| Organization Legal Name | BRAZOS EP PLLC |
| Address |
1721 Birmingham Dr Suite 202 College Station TX 77845-4081 |
| Phone Number | 9792198997 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931441664 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670088 | BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI |
| 450187 | BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM |
| Address | Phone | Organization |
|---|---|---|
| 1721 Birmingham Dr, Suite 202, College Station, TX 77845-4081 | 9792198997 | BRAZOS EP PLLC |
| Organization Legal Name | BRAZOS EP PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas H Meade | Cardiac Electrophysiology | Brazos Ep Pllc | 1721 Birmingham Dr, Suite 202, College Station, TX 77845-4081 |
| Street Address |
1721 BIRMINGHAM DR SUITE 202 |
| City | COLLEGE STATION |
| State | TX |
| Zip | 77845-4081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajpreet K Singh | Rheumatology | Arthritis and Osteoporosis Clinic of Brazos Valley | 1721 Birmingham Dr, Suite 204, College Station, TX 77845-4081 |
| Thomas H Meade | Cardiac Electrophysiology | Brazos Ep Pllc | 1721 Birmingham Dr, Suite 202, College Station, TX 77845-4081 |
| Mario A Lammoglia | Interventional Cardiology | 1721 Birmingham Dr, College Station, TX 77845-4082 | |
| Lane R Miller | Cardiovascular Disease (cardiology) | 1721 Birmingham Dr, College Station, TX 77845-4082 | |
| Marcel E Lechin | Interventional Cardiology | Marcel E. Lechin, M.d., P.a. | 1721 Birmingham Dr, College Station, TX 77845-4082 |
| Ricardo L Pocurull | Rheumatology | Arthritis and Osteoporosis Clinic of Brazos Valley | 1721 Birmingham Dr, Suite 204, College Station, TX 77845-4081 |
| Leslie Robbins | Physician Assistant | Marcel E. Lechin, M.d., P.a. | 1721 Birmingham Dr, College Station, TX 77845-4082 |
| Dean Phillip Blevins | Endocrinology | 1721 Birmingham Dr, Suite 200, College Station, TX 77845-4081 | |
| Michelle L Lindberg | Physician Assistant | Marcel E. Lechin, M.d., P.a. | 1721 Birmingham Dr, College Station, TX 77845-4082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Williams | General Surgery | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, Suite 1100, College Station, TX 77845-0001 |
| Joseph J Roman | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Conde N Anderson | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sidney C. Ontai | General Practice | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Arun K Jain | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jill Linsey Holcomb | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sandra Md Nweke | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Catherine Manga | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jasvinder S Sidhu | Cardiovascular Disease (cardiology) | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Aderemi Jaiyeola | Gastroenterology | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Find all physicians in zip 77845 | |||
| City | COLLEGE STATION |
| Zip Code | 77845 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLLEGE STATION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Creighton G Wilson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.