Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JAY WILSON, M.D.
Active Sole ProprietorBRADLEY JAY WILSON, M.D. is a Diagnostic Radiology healthcare provider located in WARREN, Michigan. NPI 1174810824 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · WARREN, MI
Registration Details
- NPI Number
- 1174810824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2011 (15.141441974678 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
4301098675 (MI)4301097675 (MI)4301098675 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11800 E 12 MILE RDWARREN, MI, 480933472Browse MI providers · Browse ZIP 48093
- Phone
- 5865735060
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in WARREN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERICK GERALD MEOLI | DO | 1225098106 |
| ADAM J FRANK | MD | 1730105933 |
| H JAY ZESKIND | MD | 1053337402 |
| ZENON M ZAREWYCH | MD | 1831115294 |
| MICHAEL G EDWARDS | MD | 1750309100 |
| RICHARD G HAYES | MD | 1851318356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.