Bryan D Wilson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R1K78 Issued in MO

Practice address

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220

Phone

(816) 346-7220

Fax

(816) 346-7242

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• VA Eastern Kansas Health Care System

  • Emergency Medicine Physician
  • Leavenworth, KS
  • NPI 1255432951

  MO

  Medicare reassignment NPD
• Medevac Midamerica Inc

  • Ambulance
  • Kansas City, KS
  • NPI 1306871215
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1740273283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11157",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641190157",
            "telephone_number": "913-234-1350",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLAY EDWARDS DR",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163220",
            "telephone_number": "816-346-7220",
            "fax_number": "816-346-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R1K78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC MO",
            "identifier": "15633077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Michelle Williams, M.D.
• Rebecca L. Williams, RN, APRN, FNP
• Ethan Wilms, OTR/L
• Amy Wilson, R.D.
• Ashley Pence Wilson, FNP-BC
• Heath Garris Wilt, DO
• Joy Chern Wise, CRNA
• Brian J Wittek, M.D.
• Dwayne Woldruff, PT, DPT
• Tosha Wolfe, FNP

• Emergency Medicine Physician in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.