Individual provider Active NPI

Tolbert S. Wilkinson, MD

  • Specialist
  • San Antonio, TX
National Provider Identifier
1558455469
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D8842 Issued in TX
Practice address
109 Gallery Cir
Suite 127
San Antonio, TX 78258-3327
Phone
(210) 495-8825
Fax
(210) 495-7145
NPI assigned
Oct 3, 2006
Last updated
May 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D8842 TX Primary
Surgery Physician 208600000X D8842 TX

Addresses

Primary practice location

109 Gallery Cir
Suite 127
San Antonio, TX 78258-3327

Mailing address

109 Gallery Cir
Suite 127
San Antonio, TX 78258-3327
Phone (210) 495-8825

Other identifiers 1

IdentifierTypeStateIssuer
1592545MedicaidTX

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

LicenseStateTypeSpecialty
D8842TXMDSpecialist

Interoperability endpoints

  • Direct secure messaging: tolbert.wilkinson.1@15168.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1558455469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIR",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583327",
            "telephone_number": "210-495-8825",
            "fax_number": "210-495-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIR",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583327",
            "telephone_number": "210-495-8825",
            "fax_number": "210-495-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "TOLBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D8842",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D8842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1592545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.