Active NPI
William Henry Wilson IV, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Minneapolis, MN
National Provider Identifier
1801239892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 62362
- Practice address
- 760 Military Hwy BLDG 840
Minneapolis, MN 55450-2100 - Phone
- (612) 713-1606
- NPI assigned
- Apr 9, 2013
- 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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 62362 | MN | Primary |
Addresses
Primary practice location
760 Military Hwy BLDG 840
Minneapolis, MN 55450-2100
Mailing address
986 Earley Lake PL
Burnsville, MN 55306-6203
Phone (513) 253-7542
Other practice location 1
900 Bob Ehlen Dr
Anoka, MN 55303-1778
Phone (763) 323-3700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1801239892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "986 EARLEY LAKE PL",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553066203",
"telephone_number": "513-253-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 MILITARY HWY BLDG 840",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554502100",
"telephone_number": "612-713-1606"
}
],
"practiceLocations": [
{
"address_1": "900 Bob Ehlen Dr",
"address_purpose": "LOCATION",
"city": "Anoka",
"state": "MN",
"postal_code": "553031778",
"country_code": "US",
"telephone_number": "763-323-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MN",
"license": "62362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.