BRUCE WILSON
NPI 1093767667
Physician Assistant in Whiteville, NC

Q: What is Bruce Wilson's NPI number?

The NPI number for Bruce Wilson is 1093767667. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Bruce Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Wilson was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 16, 2006PECOS EnrolledAccepts Medicare Assignment

320 JEFFERSON ST, WHITEVILLE, NC 28472(910) 641-8600 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2019, Jan 16, 2019, Jan 4, 2019 and 6 more (9 updates tracked since 2018).

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About Bruce Wilson NPPES

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

BRUCE WILSON (NPI 1093767667) is an individual physician assistant in Whiteville, North Carolina, licensed in North Carolina (0010-03556) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093767667

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRUCE WILSON

Location Address320 JEFFERSON STWhiteville, NC 28472-3602

Mailing Address320 Jefferson StWhiteville, NC 28472-3602

Phone(910) 641-8600

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 16, 2006

Last NPPES UpdateFebruary 12, 20199 updates tracked since enumeration

✔ NPI 1093767667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-03556

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

320 JEFFERSON ST, Whiteville, NC 28472

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bruce Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375646763

PECOS Enrollment IDI20120914000233

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

189 services171 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340068

Location500 Jefferson StWhiteville, NC 28472 · Columbus County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28472 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 9

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

BRANDY WATTS MATHESON NP

Nurse Practitioner