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DR. BRUCE LEONARD WILSON M.D. M.S.P.H NPI 1457667487


NPI Information

NPI: 1457667487
Provider Name: DR. BRUCE LEONARD WILSON, M.D., M.S.P.H
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: NEW ORLEANS PHYSICIAN SERVICES INC

PECOS Registration: Yes

Address:
2073 KLOCKNER RAOD
HAMILTON, NJ
ZIP 08690
Phone: (609) 584-1212
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DR. Bruce Leonard Wilson, M.D., M.S.P.H is a cardiovascular disease internal medicine in Hamilton, NJ with 14 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Bruce Leonard Wilson, M.D., M.S.P.H NPI is 1457667487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

2073 KLOCKNER RAOD
HAMILTON, NJ
ZIP 08690
Phone: (609) 584-1212
Fax: (609) 584-0103

The NPI 1457667487 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 enumeration date for this NPI number is 8/27/2010 and was last updated on 10/5/2016.


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
1207RC0000XInternal MedicineCardiovascular Disease25MA09945200NEW JERSEYYes

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
122-3052989OTHERNEW JERSEYTAX ID#

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.