Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD P WILSON, D.O.
ActiveDR. BRAD P WILSON, D.O. is a Pain Medicine (PM&R) healthcare provider located in HENDERSONVILLE, Tennessee. NPI 1205002227 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · HENDERSONVILLE, TN
Registration Details
- NPI Number
- 1205002227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2008 (18.329388148517 yrs)
- Last Updated
- Jan 9, 2024
- Licenses
-
DO0000002339 (TN)DO0000002339 (TN)
Practice Information
- Address
-
353 NEW SHACKLE ISLAND RD STE 148CHENDERSONVILLE, TN, 370752366Browse TN providers · Browse ZIP 37075
- Phone
- 6159721100
- Fax
- 6155374950
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
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.