Brian G. Wilson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD067812L Issued in PA

Practice address

123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382

Phone

(610) 278-7456

Fax

(610) 278-7457

NPI assigned

Jul 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Anestiplus, Inc.

  • Anesthesiology Physician
  • East Norriton, PA
  • NPI 1194770487
  Medicare reassignment NPD
• Anesticare Anesthesia Services

  • Anesthesiology Physician
  • East Norriton, PA
  • NPI 1528008851
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1174537765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 LONGLEAF CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262885",
            "telephone_number": "610-489-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W GERMANTOWN PIKE",
            "address_2": "SUITE 2",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011382",
            "telephone_number": "610-278-7456",
            "fax_number": "610-278-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRIAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD067812L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19007660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Waqas
• Melissa M Weigand, CRNP
• Edgar Frederick Weyback-Liogier, DO
• Melyssa Diane Wilde
• Keith Graham Williams, D.O.
• Samantha Witt, DPT
• Elizabeth Theresa Wolo, M.D.
• Christopher J Wong, D.O.
• H. Theresa Wright, LDN
• Lori Jo Yakish

• Anesthesiology Physician in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.