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CHARLES E. WILSON M.D. NPI 1104823202


NPI Information

NPI: 1104823202
Provider Name: CHARLES E. WILSON, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 01D0865712

Address:
541 W COLLEGE ST
SUITE 3500
FLORENCE, AL
ZIP 35630
Phone: (256) 718-2188
Get Directions

Charles E. Wilson, M.D. is an urology in Florence, AL with 50 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Charles E. Wilson, M.D. NPI is 1104823202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1974

The provider's business location address is:

541 W COLLEGE ST
SUITE 3500
FLORENCE, AL
ZIP 35630-326
Phone: (256) 718-2188
Fax: (256) 718-3363

The NPI 1104823202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 01D0865712 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 1/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology15126MISSISSIPPINo
2208800000XUrology6987ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14123452OTHERAETNA
20126868MEDICAIDMISSISSIPPI
3340020200OTHERMISSISSIPPIRAILROAD MEDICARE
4C76530MEDICARE UPIN
54046425MEDICAIDTENNESSEE
64042085OTHERTENNESSEEBLUE CROSS BLUE SHIELD
7340020199OTHERALABAMARAILROAD MEDICARE
851509142OTHERALABAMABLUE CROSS BLUE SHIELD
9340000237MEDICARE PINMISSISSIPPI
101416173OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
114661630001OTHERPALMETTO DMERC
12529912610MEDICAIDALABAMA
13051509142MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.