Active NPI
Billy Joe Wilkerson Jr., BOC CP LP
- Prosthetics Case Management
- Edmond, OK
National Provider Identifier
1811296981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 19
- Practice address
- 16105 Cattail Circle
Edmond, OK 73013 - Phone
- (405) 315-1513
- NPI assigned
- Mar 15, 2011
- Last updated
- Mar 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 19 | OK | Primary |
Addresses
Primary practice location
16105 Cattail Circle
Edmond, OK 73013
Mailing address
16105 Cattail Circle
Edmond, OK 73013
Phone (405) 315-1513
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19 | OK | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1811296981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16105 CATTAIL CIRCLE",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-315-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16105 CATTAIL CIRCLE",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-315-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "BILLY",
"middle_name": "JOE",
"name_suffix": "Jr.",
"credential": "BOC CP LP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "OK",
"license": "19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.