Barry Christopher Wilson
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Cascade, VA
NPI 1831665595 · NPPES record last updated Oct 21, 2018
Key facts
- NPI
- 1831665595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- T28404297 (VA)
- Practice address
- 6470 Cascade Mill Rd
Cascade, VA 24069-2548 - Phone
- (434) 709-8798
- NPI assigned
- Oct 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T28404297 | VA | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | T28404297 | VA | Yes |
Addresses
Primary practice location
6470 Cascade Mill Rd
Cascade, VA 24069-2548
Mailing address
6470 Cascade Mill Rd
Cascade, VA 24069-2548
Phone (434) 709-8798
Other providers in Cascade, VA
- Cecile Wright Fitzgerald
- Maybelle Hairston
- M&D Medical Transport Services LLC
- Dillon Garrett Phillips
- Byrd Tyrone Smith
All providers in Cascade, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.