William Robert Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J5661 Issued in TX

Practice address

902 Bandera Rd
San Antonio, TX 78228-4923

Phone

(210) 921-3800

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Texas Tech University Health Science Center School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andala Medical Texas PAGroup PAC ID 7416330436, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.wilson.1@25241.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ECBJBD

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.

• Andala Medical Texas PA

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1386224137
  Medicare reassignment Care Compare group NPD
• Aguilar Wound Care LLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1205631082
  Medicare reassignment NPD
• Dia Health PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1659925782
  Medicare reassignment NPD
• RH Center LLC

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1588355077
  Medicare reassignment
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)
• East Texas Medical Center Quitman

  • Critical Access Hospital
  • Quitman, TX
  • NPI 1396748430
  NPD (past)
• East Texas Medical Center Quitman

  • Rural Health Clinic/Center
  • Grand Saline, TX
  • NPI 1447615943
  NPD (past)
• Health Group PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1619538089
  NPD (past)
• North Country Family Practice, PA

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1790976934
  NPD (past)
• South Texas Ancillary Services, LTD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1063670289
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1972561264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141343",
            "telephone_number": "210-921-3800",
            "fax_number": "210-334-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284923",
            "telephone_number": "210-921-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha Lique Wilson
• Tony Laray Wilson
• Travis Alexander Wilson, PT, DPT
• Travis David Wilson, M.D.
• Victoria Wilson
• Yolanda Louise Wilson, RRT
• Zacchaeus Emmanuel Wilson, LPC
• Parker Jakob Wilstead
• Eric Edwin Wiltz, PHYSICIAN ASSISTANT
• Dueward Shane Wimberly, PMHNP-BC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.