Active NPI
Robert S Wilson, D.O.
- Geriatric Medicine (Family Medicine) Physician
- Eagleville, PA
National Provider Identifier
1245216068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- OS-004237-L
- Practice address
- 100 Eagleville Rd
Eagleville, PA 19403-1829 - Phone
- (610) 539-6000
- Fax
- (610) 539-9314
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS-004237-L | PA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OS-004237-L | PA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OS-004237-L | PA | Primary |
Addresses
Primary practice location
100 Eagleville Rd
Eagleville, PA 19403-1829
Mailing address
100 Eagleville Rd
Eagleville, PA 19403-1829
Phone (610) 539-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-004237-L | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice of Honey Brook, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Honey Brook, PA
- NPI 1588640379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245216068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAGLEVILLE RD",
"city": "EAGLEVILLE",
"state": "PA",
"postal_code": "194031829",
"telephone_number": "610-539-6000",
"fax_number": "610-539-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAGLEVILLE RD",
"city": "EAGLEVILLE",
"state": "PA",
"postal_code": "194031829",
"telephone_number": "610-539-6000",
"fax_number": "610-539-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "OS-004237-L",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "PA",
"license": "OS-004237-L",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "OS-004237-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagleville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.