Brian Cranford Wilder Apmc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRIAN CRANFORD WILDER APMC

Practice address

2539 F E Landry Rd
Jennings, LA 70546-8618

Phone

(337) 991-9276

Fax

(337) 943-0846

NPI assigned

Jan 25, 2019

Last updated

Feb 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian WilderNPI 1558455733

Title

Owner

Phone

(337) 246-7200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Cranford Wilder, M.D.

  • Internal Medicine Physician
  • Jennings, LA
  • NPI 1558455733
  NPD (past) Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1306300298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 F E LANDRY RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468618",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CRANFORD WILDER APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-246-7200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Shore, MD, LLC
• Charles Bradley, MHS
• Gwendolyn Marie Braum, MHP
• Jill Angelle Breaux, APRN, FNP-C
• Kathryn J Brennan, MSLP
• Cody Paul Broussard, PLPC
• Damian Broussard, F.N.P
• Jessie M Broussard, LOTR
• John Austin Bucklin, APRN
• Kimberly Ann Burgess, PHARM. D.

• Internal Medicine Physician in Jennings, LA
• Providers in Jennings, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.