Active NPI
James E Wilson Jr., M.D.
- Internal Medicine Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0023392
- Practice address
- 10215 Fernwood Road
Suite 100
Bethesda, MD 20817 - Phone
- (301) 493-4440
- Fax
- (301) 493-9778
- NPI assigned
- Feb 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0023392 | MD | Primary |
Addresses
Primary practice location
10215 Fernwood Road
Suite 100
Bethesda, MD 20817
Mailing address
19735 Germantown Road
Suite 100
Germantown, MD 20874
Phone (301) 917-6513
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0023392 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Physician Associates | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10215 Fernwood Rd
Ste 100
Bethesda, MD 20817
Phone (301) 493-4440
8401 Connecticut Ave
Ph
Chevy Chase, MD 20815
Phone (301) 942-2212
19735 Germantown Rd
Ste 100
Germantown, MD 20874
Phone (301) 917-6513
10400 Connecticut Ave
Ste 606
Kensington, MD 20895
Phone (301) 896-2600
11125 Rockville Pike
Ste 103
Rockville, MD 20852
Phone (301) 231-0744
Organizations & group practices 2
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
- Chevy Chase, MD
- NPI 1831112143
Internal Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1477528115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19735 GERMANTOWN ROAD",
"address_2": "SUITE 100",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "20874",
"telephone_number": "301-917-6513",
"fax_number": "301-917-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 FERNWOOD ROAD",
"address_2": "SUITE 100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "301-493-4440",
"fax_number": "301-493-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0023392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.