William C. Wilson D.O. P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5519 Issued in FL

Legal business name

WILLIAM C. WILSON D.O. P.A.

Doing business as

WILSON FAMILY MEDICAL CENTER

Practice address

5190 Bayou Blvd
BLDG 2
Pensacola, FL 32503-2194

Phone

(850) 476-0003

Fax

(850) 476-4724

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William C Wilson, D.O.

Title

President

Phone

(850) 476-0003

Specialties & licenses 1

Addresses

Other names 1

• WILSON FAMILY MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437185923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD",
            "address_2": "BLDG 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032194",
            "telephone_number": "850-476-0003",
            "fax_number": "850-476-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD",
            "address_2": "BLDG 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032194",
            "telephone_number": "850-476-0003",
            "fax_number": "850-476-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. WILSON D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-476-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILSON FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryce Lawrence Willen, D.O.
• Jessica B Willert, MD
• William B Henghold MD PA
• William B Waters D.C.P.a.
• William Belk MD LLC
• William Shanahan
• Tamela Williams Gable
• Aaron Jamal Williams, DPT
• Amanda Elissa Williams
• Amber Lynn Williams, MSN APRN FNP-BC

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.