Individual provider Active NPI

Alicia Wilkerson, D.O.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1902937808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H3431 Issued in TX
Practice address
5201 S Cooper St
Ste 111
Arlington, TX 76017-5933
Phone
(817) 468-9999
Fax
(817) 468-9733
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H3431 TX Primary

Addresses

Primary practice location

5201 S Cooper St
Ste 111
Arlington, TX 76017-5933

Mailing address

5201 S Cooper St
Ste 111
Arlington, TX 76017-5933
Phone (817) 468-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 18, 2018 through Dec 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H3431TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Doctor Past Accepting new patients
Ibg Healthcare Services LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902937808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S COOPER ST",
            "address_2": "STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175933",
            "telephone_number": "817-468-9999",
            "fax_number": "817-468-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S COOPER ST",
            "address_2": "STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175933",
            "telephone_number": "817-468-9999",
            "fax_number": "817-468-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.