DR. M.D. Donald Bruce Wilson, NPI 1891755955
Cardiovascular Disease Physician in Memphis, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1891755955 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D. Donald Bruce Wilson |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1265 Union Ave, Memphis, TN, US |
| Provider Mailing Address | 5885 Airline Rd 985, Arlington, TN, US, 380025121 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Cardiovascular Disease Physician |
| Classification | |
| Group | |
| License No. | MD0009123 |
| License State | TN |
| Description | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00126945 | MS | MEDICAID | 05 |
| 0013799 | TN | BLUE CROSS | 01 |
| 89359 | AR | BLUE CROSS | 01 |
| 10306I1808 | TN | MEDICARE | 01 |
| 201033404 | MO | MEDICAID | 05 |
| 00000120190 | UNITED HEALTHCARE | 01 | |
| 107173001 | AR | MEDICAID | 05 |
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