Brenda Sison Wilkinson, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME85089 Issued in FL

Practice address

2050 Ackola PT
Longwood, FL 32779-3112

Phone

(321) 436-5592

NPI assigned

Sep 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1679124986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ACKOLA PT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793112",
            "telephone_number": "321-436-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ACKOLA PT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793112",
            "telephone_number": "321-436-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "BRENDA",
        "middle_name": "SISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME85089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon D Wiese, MD
• Cara Lynn Wiewiora, D.M.D.
• Tyler Wild
• Jenel Paeztold Wilhite
• Elizabeth Ann Wilkerson
• Aaron H Williams, MS, BCBA
• David Rogan Williams
• Jennazja Amore' Williams
• Willow Therapy Framework, LLC
• Deborah Marie Wills, ARNP

• Obstetrics & Gynecology Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.