MR. BRENT C WILSON (NPI# 1760440879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760440879 |
| Entity Type | Individual |
| Full Name | MR. BRENT C WILSON |
| Credential | M.D. |
| Practice Address |
4300 W Memorial Rd Oklahoma City OK 73120-8304 |
| Mailing Address |
4401 W Memorial Rd Suite 140 Oklahoma City OK 73134-1785 |
| Practice Telephone | 4057523715 |
| Mailing Telephone | 4057523162 |
| Mailing Fax Number | 4059365211 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
17280 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100213520B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811186034 | Brent A Wilson | Psychiatry & Neurology | 800 Peachtree St Ne, Apt 1303, Atlanta, GA 30308-1245 | 2007-10-24 |
| 1437661808 | Brent Andrew Wilson | Nurse Practitioner | 1453 Hope Way, Murfreesboro, TN 37129-3140 | 2017-10-25 |
| 1114461357 | Brent Wilson | Physician Assistant | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2016-12-07 |
| 1689060683 | Brent Wilson | Dietitian, Registered | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2015-04-07 |
| 1811307978 | Brent Alan Wilson | Counselor | 561 S 9th St, San Jose, CA 95112-3749 | 2014-04-29 |
| 1184647091 | Brent Wilson | Emergency Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2006-07-25 |
| 1831121938 | Brent Donald Wilson | Internal Medicine | 30 N 1900 E, Room 4a100 Som, Salt Lake City, UT 84132-0002 | 2006-07-07 |
| 1063491660 | Brent J Wilson | Optometrist | 2580 N Litchfield Rd, Goodyear, AZ 85395-2071 | 2006-01-11 |
| Street Address |
4300 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348171 | Astrid Elizabeth Morrison | Radiology | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2005-07-07 |
| 1922623123 | Jose Manuel Rojas | Health Educator | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2020-06-12 |
| 1558982942 | Kaylee Nicole Tyson | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2020-04-27 |
| 1417591108 | Jennifer Anne Aljoe | Physician Assistant | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-11-05 |
| 1750934469 | Jaylin Marie Brophy | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-07-22 |
| 1275193997 | Emily Duggan | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-06-14 |
| 1962061721 | Holly Keller | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-06-06 |
| 1750947842 | Maren Hinshaw | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-14 |
| 1518523786 | Kathryn Elizabeth Drakeford | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-14 |
| 1760048052 | Kaycee Hammack | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
| 1255327417 | John D Wells | Emergency Medicine | 34 Sw 89th St, Oklahoma City, OK 73139-8510 | 2005-09-23 |
| 1841286333 | Kevin M Penwell | Emergency Medicine | 11808 S May Ave, Oklahoma City, OK 73170-2560 | 2005-09-21 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1861971699 | Emma Zheng | Emergency Medicine | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2018-08-13 |
| 1174892533 | Faster Care, LLC | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2011-12-14 |
| 1609154848 | Trinh Nam Ho | Emergency Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2011-07-21 |
| 1295839280 | Ibmc Er Physicians | Emergency Medicine | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-09-11 |
| 1871512087 | Deaconess Emergency Physicians, LLC | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-07-19 |
| 1073571154 | Richard L Myers | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2006-05-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on MR. BRENT C WILSON.
| 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.