Brycen Wilson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO4438 Issued in TN

Practice address

2145 Jacksboro Pike
La Follette, TN 37766-3003

Phone

(423) 907-1700

Fax

(423) 907-1711

NPI assigned

May 20, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence at Home With Compassus HH Anchorage Home health agency, Anchorage, AK, CCN 027001
• Ancora Home Health & Hospice Home health agency, Wasilla, AK, CCN 027008
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043
  Care Compare affiliation
• CP Ak HH, LLC

  dba Providence at Home with Compassus Home Health, Anchorage

  • Home Health Agency
  • Anchorage, AK
  • NPI 1134941156
  Care Compare affiliation
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1114584778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663003",
            "telephone_number": "423-907-1700",
            "fax_number": "423-907-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663003",
            "telephone_number": "423-907-1700",
            "fax_number": "423-907-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRYCEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "DO4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly B Wells, RPH DPH
• Taylon N West
• Melissa Wheeling
• Heather Whittemore, FNP-BC
• Juliana Williamson, M.D.
• Tarra A Wilson, FNP
• William Evan Wilson I, PMHNP
• Steve Dooley Womack, PTA
• Michelle Worsowicz
• Wynn Habersham Community Clinic Inc

• Internal Medicine Physician in La Follette, TN
• Providers in La Follette, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.