DR. BRANDON DANIEL WILSON M.D. NPI 1003347576

NPI Information

  • NPI: 1003347576
  • Provider Name: DR. BRANDON DANIEL WILSON, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 WHEELING AVE
    GLEN DALE, WV
    ZIP 26038
  • Phone: (304) 845-3211

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NPI Details

DR. Brandon Daniel Wilson, M.D. is a general practice in Glen Dale, WV with 9 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Brandon Daniel Wilson, M.D. NPI is 1003347576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

800 WHEELING AVE
GLEN DALE, WV
ZIP 26038-660
Phone: (304) 845-3211

The NPI 1003347576 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Ultrasound scan of chest (HCPCS:76604)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)

The enumeration date for this NPI number is 3/25/2017 and was last updated on 4/7/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208D00000XGeneral Practice29198WEST VIRGINIAYes

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: 11/21/2025

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