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BRENT JEROME WILKERSON M.D. NPI 1407167489


NPI Information

NPI: 1407167489
Provider Name: BRENT JEROME WILKERSON, M.D.
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

PECOS Registration: Yes

Address:
200 PATEWOOD DR STE B400
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-4368
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Brent Jerome Wilkerson, M.D. is an otology and neurotology otolaryngology in Greenville, SC with 14 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. Brent Jerome Wilkerson, M.D. NPI is 1407167489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

200 PATEWOOD DR STE B400
GREENVILLE, SC
ZIP 29615-306
Phone: (864) 454-4368
Fax: (864) 241-9232

The NPI 1407167489 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.

  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of ear and nose (HCPCS:92504)
  • Observation, testing, and recording of abnormal eye movement (HCPCS:92540)

The enumeration date for this NPI number is 6/24/2010 and was last updated on 12/14/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0901XOtolaryngologyOtology & Neurotology4301108235MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207YX0901XOtolaryngologyOtology & Neurotology86683SOUTH CAROLINAYes

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
1866833MEDICAIDSOUTH CAROLINA

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.