DR. BRANDON MARAY WILSON D.O
NPI 1083921191
Obstetrics & Gynecology in Tulsa, OK

Q: What is Brandon Wilson's NPI number?

The NPI number for Brandon Wilson is 1083921191. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Q: What is Brandon Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Wilson was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2010PECOS Enrolled

1120 S UTICA AVE, SUITE G100, TULSA, OK 74104(918) 392-0175(918) 392-0176 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Brandon Maray Wilson D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON MARAY WILSON D.O (NPI 1083921191) is an individual obstetrics & gynecology provider in Tulsa, Oklahoma, licensed in Oklahoma (4976) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083921191

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. BRANDON MARAY WILSONCredential: D.O

Location Address1120 S UTICA AVE, SUITE G100Tulsa, OK 74104-4012

Mailing Address1120 S Utica Ave, Suite G100Tulsa, OK 74104-4012 · (918) 392-0175 · Fax (918) 392-0176

Phone(918) 392-0175

Fax(918) 392-0176

Sole ProprietorNo

Enumeration DateSeptember 10, 2010

Last NPPES UpdateMay 6, 2014

✔ NPI 1083921191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OK · 4976

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1120 S UTICA AVE, Tulsa, OK 74104

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Other Identifiers 2

Medicaid200304180AOK

Medicare PIN304646YLV0OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CommunityCare, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Maray Wilson D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY BENNETT

Dietitian, Registered