D Bruce Wilson Md, Pc

LBN: D Bruce Wilson Md, Pc
D Bruce Wilson Md, Pc is an health care organization with primary practice located at 188 S Bellevue Blvd #405, Memphis TN 38104-3416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. D Bruce Wilson Md, Pc can be contacted via phone (901) 725-4400, or through Wilson, Donald Bruce via phone (901) 725-4400.

Contact Information

Primary practice address
188 S Bellevue Blvd #405 Memphis TN 38104-3416
Phone: (901) 725-4400
Fax: (901) 516-8996
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Donald Bruce Doctor of Medicine (MD)
Phone: (901) 725-4400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD009123 Tennessee

Profile Details

NPI number 1881890614
LBN Legal business name D Bruce Wilson Md, Pc
DBA Doing business as
Authorized official Wilson, Donald Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881890614 NPPES
Tennessee MEDICAID 120197
Tennessee Other 13799
Tennessee MEDICAID 3388
Tennessee MEDICAID 511754
Tennessee MEDICAID 00126945
Tennessee Other 4724230
Tennessee Other 89359
Tennessee MEDICAID 3386286

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