Wilson, Brad P

Wilson, Brad P is an individual health care provider with primary practice located at 353 New Shackle Island Rd Ste 148C , Hendersonville TN 37075-2366. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wilson, Brad P can be contacted via phone (615) 972-1100.

Contact Information

Primary practice address
353 New Shackle Island Rd Ste 148C Hendersonville TN 37075-2366
Phone: (615) 972-1100
Fax: (615) 537-4950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X DO0000002339 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X DO0000002339 Tennessee

Profile Details

NPI number 1205002227
LBN Legal business name Wilson, Brad P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jan 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205002227 NPPES
Tennessee MEDICAID 1531353

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