Dr. Brandon Daniel Wilson
General Practice Physician
800 Wheeling Ave
Glen Dale
, West Virginia 26038-1660
Dr. Brandon Daniel Wilson
General Practice Physician
800 Wheeling Ave
Glen Dale
, West Virginia 26038-1660
(304) 281-8551
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Brandon Daniel Wilson
- 222 Newberry Ln
- Morgantown, WV
- Zip : 26505-1078
- Phone : (304) 281-8551
Second Address
- Dr. Brandon Daniel Wilson
- 800 Wheeling Ave
- Glen Dale, WV
- Zip : 26038-1660
- Phone : (304) 845-3211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 29198 | WV |
National Provider Identifier
| NPI | 1003347576 |
|---|---|
| Provider Name | Dr. Brandon Daniel Wilson |
| First Address | Morgantown, WV 26505-1078 |
| Second Address | Glen Dale, WV 26038-1660 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2017 |
| Last Update Date | 02/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.