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RENEE WILSON MD NPI 1740275403


NPI Information

NPI: 1740275403
Provider Name: RENEE WILSON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: CARECENTRAL URGENT CARE MEDICAL GROUP PC

PECOS Registration: Yes

Address:
235 N PEARL ST
BROCKTON, MA
ZIP 02301
Phone: (508) 427-2090
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Renee Wilson, MD is an emergency medicine in Brockton, MA with 27 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Renee Wilson, MD NPI is 1740275403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1997

The provider's business location address is:

235 N PEARL ST
BROCKTON, MA
ZIP 02301-794
Phone: (508) 427-2090

The NPI 1740275403 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 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.

  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

The enumeration date for this NPI number is 9/19/2005 and was last updated on 4/28/2017.


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
1207P00000XEmergency Medicine229528MASSACHUSETTSYes

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
1A4067105MEDICARE PINMASSACHUSETTS
2110075069AMEDICAIDMASSACHUSETTS

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: 11/14/2023

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.