Bradley C Wilson (NPI# 1225020878, PAC ID# 4789690785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225020878 |
| PAC ID by PECOS | 4789690785 |
| Professional Enrollment ID | I20100323000399 |
| Full Name | Bradley C Wilson |
| Address |
7756 State Route 37 E New Lexington OH 43764-9512 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360039 | GENESIS HOSPITAL |
| 360072 | FAIRFIELD MEDICAL CENTER |
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7756 State Route 37 E, New Lexington, OH 43764-9512 |
| Street Address |
7756 STATE ROUTE 37 E |
| City | NEW LEXINGTON |
| State | OH |
| Zip | 43764-9512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica A Grygo | Family Medicine | Genesis Medical Group, LLC | 401 Lincoln Park Dr, New Lexington, OH 43764-1033 |
| Audrey Baker | Nurse Practitioner | Genesis Medical Group, LLC | 401 Lincoln Park Dr, New Lexington, OH 43764-1033 |
| Jeffrey J Haggenjos | General Practice | Jeffrey J Haggenjos Do Inc | 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764-1078 |
| Brittney N Valentine | Nurse Practitioner | Jeffrey J Haggenjos Do Inc | 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764-1078 |
| John Manard | Optometry | Robert J. Dittoe, O.d., Inc. | 391 Lincoln Park Dr, New Lexington, OH 43764-1080 |
| Robert J Dittoe | Optometry | Robert J. Dittoe, O.d., Inc. | 391 Lincoln Park Dr, New Lexington, OH 43764-1080 |
| Alberta D Espinoza-lyons | Nurse Practitioner | Lyons Primary Urgent Care LLC | 322 W Water St, New Lexington, OH 43764-1479 |
| Catherine Ann Duncan | Nurse Practitioner | Lyons Primary Urgent Care LLC | 322 W Water St, New Lexington, OH 43764-1479 |
| Alicia N Ditty | Physical Therapy | First Settlement Physical Therapy | 775 Carroll St, New Lexington, OH 43764-9415 |
| Sara Sabo | Physical Therapy | First Settlement Physical Therapy | 775 Carroll St, New Lexington, OH 43764-9415 |
| Find all physicians in zip 43764 | |||
| City | NEW LEXINGTON |
| Zip Code | 43764 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW LEXINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bradley C Wilson.
| 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.