Active NPI
Terence Benjamin Wilson, M.D.
- Internal Medicine Physician
- Maumelle, AR
National Provider Identifier
1184954851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C-4907
- Practice address
- 7 Norfork CV
Maumelle, AR 72113-6538 - Phone
- (501) 803-0361
- NPI assigned
- Jan 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C-4907 | AR | Primary |
Addresses
Primary practice location
7 Norfork CV
Maumelle, AR 72113-6538
Mailing address
7 Norfork CV
Maumelle, AR 72113-6538
Phone (501) 803-0361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262390400000",
"number": "1184954851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NORFORK CV",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136538",
"telephone_number": "501-803-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 NORFORK CV",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136538",
"telephone_number": "501-803-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TERENCE",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-02",
"last_updated": "2010-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C-4907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.