Brian C Wilson (NPI# 1598787715, PAC ID# 8022009927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1598787715 |
| PAC ID by PECOS | 8022009927 |
| Professional Enrollment ID | I20040519001640 |
| Full Name | Brian C Wilson |
| Organization Legal Name | I V RADIOLOGY MEDICAL GROUP |
| Address |
207 W Legion Rd Brawley CA 92227-7780 |
| Phone Number | 7603513751 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1983 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7517952310 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050342 | PIONEERS MEMORIAL HEALTHCARE DISTRICT |
| 050045 | EL CENTRO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 207 W Legion Rd, Brawley, CA 92227-7780 | 7603513751 | I V RADIOLOGY MEDICAL GROUP |
| Organization Legal Name | I V RADIOLOGY MEDICAL GROUP |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramon O Pascual | Diagnostic Radiology | I V Radiology Medical Group | 3731 Torrey View Ct, San Diego, CA 92130-2623 |
| Lawrence G Lareau | Diagnostic Radiology | I V Radiology Medical Group | 207 W Legion Rd, Brawley, CA 92227-7780 |
| John H Sanico | Diagnostic Radiology | I V Radiology Medical Group | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Amilcar Diaz | Diagnostic Radiology | I V Radiology Medical Group | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Jonathan W Blevins | Diagnostic Radiology | I V Radiology Medical Group | 3731 Torrey View Ct, San Diego, CA 92130-2623 |
| John R Hadorn | Diagnostic Radiology | I V Radiology Medical Group | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Street Address |
207 W LEGION RD |
| City | BRAWLEY |
| State | CA |
| Zip | 92227-7780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik Akopian | Emergency Medicine | Cep America - California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| George A Rapp | Diagnostic Radiology | 207 W Legion Rd, Brawley, CA 92227-7780 | |
| Victor Lin | Internal Medicine | Imperial Valley Hospitalist, Inc. | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Lawrence G Lareau | Diagnostic Radiology | I V Radiology Medical Group | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Benjamin D Walrath | Emergency Medicine | Cep America - California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Ariel J Bowman | Emergency Medicine | Cep America - California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Sasha Pavlovich | Pathology | Pathology Associates of Southern California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Michael H Bishop | Emergency Medicine | 207 W Legion Rd, Brawley, CA 92227-7780 | |
| John H Sanico | Diagnostic Radiology | I V Radiology Medical Group | 207 W Legion Rd, Brawley, CA 92227-7780 |
| John Raymond Avant Storey | Emergency Medicine | Cep America - California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben S Wehrli | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Douglas L Croff | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Claudia Jakiel | Physical Therapy | Mdrs Spine and Sport Inc | 411 W Main St, Suite 411, Brawley, CA 92227-2244 |
| Donald L Barniske | Optometry | 260 Main St, Brawley, CA 92227-2351 | |
| Alidad M Zadeh | Internal Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Lucian Oprea | Internal Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Yong Tan | Family Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Richard M Fitzsimmons | Nurse Practitioner | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Hussein El-newihi | Gastroenterology | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| John Allen Friedline | Family Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Find all physicians in zip 92227 | |||
| City | BRAWLEY |
| Zip Code | 92227 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BRAWLEY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brian 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.