NPIMap

Individual provider Active NPI

Brian Wilson

  • Family Medicine Physician
  • Verona, PA
National Provider Identifier
1912947912
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD069085L Issued in PA
Practice address
5769 Saltsburg Rd
Verona, PA 15147-3257
Phone
(412) 793-8870
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 MD069085L PA Primary

Addresses

Primary practice location

5769 Saltsburg Rd
Verona, PA 15147-3257

Mailing address

600 Watercrest Way
Suite 630
Cheswick, PA 15024-1370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.k.wilson@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008001133 PA Practitioner - Family Practice 0446219919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

100 Delafield Rd
Pittsburgh, PA 15215-3247

100 Delafield Road
108 Petz and Associates Upmc
Pittsburgh, PA 15215-3247
Phone (412) 784-7650

200 Delafield Rd
Pittsburgh, PA 15215-3234

200 Delafield Rd
Suite 4010
Pittsburgh, PA 15215-3235
Phone (412) 784-5770

241 Freeport Rd
Aspinwall, PA 15215-3035
Phone (412) 784-7677

300 Market St
1601B
Pittsburgh, PA 15222-1606
Phone (412) 641-8651

339 6TH Ave
Suite 5
Pittsburgh, PA 15222-2518
Phone (412) 560-8762

5769 Saltsburg Rd
Verona, PA 15147-3257
Phone (412) 793-8870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
75.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Family Medicine CurrentSince Oct 14, 2013 Accepting new patients
Renaissance Family Practice-Upmc, Inc Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Oct 14, 2013 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Oct 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Seneca Pid LLC Past Accepting new patients
Upmc St. Margaret Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

301 11th St
New Kensington, PA 15068
Phone (724) 334-3640

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

103 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 781-1917

5769 Saltsburg Rd
Verona, PA 15147
Phone (412) 793-8870

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seneca PlaceVerona, PA, CCN 395790 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Seneca Pid LLC

    dba Seneca Place

    • Skilled Nursing Facility
    • Verona, PA
    • NPI 1609642933

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1912947912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WATERCREST WAY",
            "address_2": "SUITE 630",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5769 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473257",
            "telephone_number": "412-793-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069085L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.k.wilson@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Verona, PA

Sources for this page

Verify at the official NPI Registry.