Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN WILSON, M.D.
Active Sole ProprietorBENJAMIN WILSON, M.D. is a Family Medicine healthcare provider located in NEVADA, Missouri. NPI 1417247644 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NEVADA, MO
Registration Details
- NPI Number
- 1417247644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2011 (15.339322384398 yrs)
- Last Updated
- Mar 11, 2016
- Licenses
-
2015010966 (MO)P5148 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 S ASH STNEVADA, MO, 647723223Browse MO providers · Browse ZIP 64772
- Phone
- 4176673355
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NEVADA, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JENNIFER CONLEY | M.D. | 1194720862 |
| FREDERICK L THOMPSON | M.D. | 1205831997 |
| HEATHER RUSSELL | M.D. | 1356346050 |
| DR. RUSSELL RICHARD KEMM | D.O. | 1649277831 |
| DR. BYRON LEONARD PERKINSON | M.D. | 1104854660 |
| LEWIS SHILANE | D.O. | 1013940469 |
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.