Brian Guy Wilson, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD.15516R Issued in LA

Practice address

2619 Centennial Blvd Ste 103
Tallahassee, FL 32308-0590

Phone

(850) 656-7720

Fax

(850) 656-7729

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Allergy/Immunology

Education

University of Florida College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Allergy, Asthma and Immunology, LLCGroup PAC ID 4880694470, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Tallahassee Allergy, Asthma & Immunology, LLC

  • Allergy & Immunology Physician
  • Tallahassee, FL
  • NPI 1285648683
  Medicare reassignment Care Compare group NPD Authorized official
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1760433247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13058",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173058",
            "telephone_number": "850-656-7720",
            "fax_number": "850-656-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 CENTENNIAL BLVD STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080590",
            "telephone_number": "850-656-7720",
            "fax_number": "850-656-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRIAN",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "LA",
            "license": "MD.15516R",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "ME82516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerra Wills, LCSW
• Madison Abby Willyoung
• Jessica Carlene Wilmer, BS
• Wilson Family Medicine LLC
• Amy Nicole Wilson
• Cindy Karen Wilson, ARNP
• D'Vonshay Wilson, RBT
• David Brent Wilson, PA-C
• Irene Bahmann Wilson, ARNP
• Jo Ann Wilson, RN

• Allergy Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.