Brian Wilson

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

361 71St Ave Ste 104
Greeley, CO 80634-9782

Phone

(970) 515-5025

Fax

(970) 515-5320

NPI assigned

May 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Livefully LLC

  • Home Health Agency
  • Greeley, CO
  • NPI 1972051480
  NPD Authorized official
• Britin LLC

  • In Home Supportive Care Agency
  • Louisville, CO
  • NPI 1003295684

  Home Health Aide

  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1124407978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 71ST AVE STE 104",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349782",
            "telephone_number": "970-515-5320",
            "fax_number": "970-515-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 71ST AVE STE 104",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349782",
            "telephone_number": "970-515-5025",
            "fax_number": "970-515-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "079733108",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Willman, P.T.
• Kylee Jo Willoughby, PHARM.D.
• Ciera Wills
• Deborah Lee Wilson-Porras
• Barbara L Wilson
• Brucene Wilson
• Donald Craig Wilson, MD
• Heather Marie Wilson
• Kelly M Wilson, BA
• Lindsey Wilson, DPT

• Homemaker in Greeley, CO
• Providers in Greeley, CO by specialty
• Homemaker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.