Brian D Wilcox, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD422523 Issued in PA

Practice address

748 Quincy Ave
Ste 2a
Scranton, PA 18510-1739

Phone

(570) 961-0851

Fax

(570) 344-4285

NPI assigned

Oct 24, 2005

Last updated

Jul 29, 2021By the provider in NPPES

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

Electronic endpoints 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

Specialty

Obstetrics/Gynecology

Education

Albany Medical College of Union University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B-K Health Center, IncGroup PAC ID 8921091745, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Endless Mountains Health Systems Hospital, Montrose, PA, CCN 391306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.wilcox.1@21771.direct.athenahealth.com
• Direct secure messaging: bwilcox@nepachc.medentdirect.com

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

• B-K Health Center, Inc

  dba NEPA Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Montrose, PA
  • NPI 1619352978
  Medicare reassignment Care Compare group NPD
• B-K Health Center, Inc

  dba NEPA Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Hallstead, PA
  • NPI 1245272707
  NPD
• B-K Health Center, Inc.

  dba NEPA Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Greenfield Township, PA
  • NPI 1952801037
  NPD (past)
• Community Medical Care, Inc

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1295789287

  Obstetrics & Gynecology

  NPD (past)
• Physicians Health Alliance Inc

  • Infectious Disease Physician
  • Scranton, PA
  • NPI 1689976730
  NPD (past)

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

• Endless Mountains Health Systems, Inc.

  • Critical Access Hospital
  • Montrose, PA
  • NPI 1215918560
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1215927116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "SUITE 2A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-961-0851",
            "fax_number": "570-344-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE",
            "address_2": "STE 2A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-961-0851",
            "fax_number": "570-344-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD422523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101387848",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.wilcox.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "748 Quincy Ave",
            "address_2": "Ste 2A",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Whitman, CPNP
• Wholistic Counseling Services, Inc
• Joseph R. Wideman, M.S., C.A.C., L.P.C.
• Skyler Ann Wilcha, PA-C
• Natalie Marie Wilchinski, PAC
• Tomara Wilding, MA, LPC, NCC
• Wilkes Barre Scranton Chiropractic and Rehabilitation
• Wilkes Barre Scranton Chiropractic and Rehabilitation
• William P. Yeomans, DDS PC
• Abigail A Williams

• Obstetrics & Gynecology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.