Active NPI
Robert Michael Wilder Jr.
- Intermediate Emergency Medical Technician
- Memphis, TN
National Provider Identifier
1538035456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 217993
- Practice address
- 326 W Peg LN
Memphis, TN 38117-2014 - Phone
- (901) 734-2521
- Fax
- (901) 734-2521
- NPI assigned
- Oct 16, 2025
- 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 |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 217993 | TN | Primary |
Addresses
Primary practice location
326 W Peg LN
Memphis, TN 38117-2014
Mailing address
326 W Peg LN
Memphis, TN 38117-2014
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217993 | TN | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1538035456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W PEG LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381172014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W PEG LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381172014",
"telephone_number": "901-734-2521",
"fax_number": "901-734-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "TN",
"license": "217993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.