DR. BRENT WILSON MD NPI 1184647091

NPI Information

  • NPI: 1184647091
  • Provider Name: DR. BRENT WILSON, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1303 E HERNDON AVE
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 450-3205

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NPI Details

DR. Brent Wilson, MD is an emergency medicine in Fresno, CA with 24 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. DR. Brent Wilson, MD NPI is 1184647091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1303 E HERNDON AVE
FRESNO, CA
ZIP 93720-309
Phone: (559) 450-3205

The NPI 1184647091 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS:U0002)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Hemoglobin a1c level, by device for home use (HCPCS:83037)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. (HCPCS:99424)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/5/2007.

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
1207P00000XEmergency MedicineA84254CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I35897MEDICARE UPIN
2A84254OTHERCOUNTY OF FRESNO
3ZZZ34627ZMEDICARE PIN
400A842540MEDICAIDCALIFORNIA
5P00387044MEDICARE PIN
6CR0087MEDICARE PIN
7A84254OTHERCALIFORNIABLUE CROSS
800A842541MEDICARE PIN
900A842540OTHERCALIFORNIABLUE SHIELD

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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