Individual provider Active NPI

William Henry Wilson IV, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1801239892
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
62362 Issued in MN
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.