BRANDON WILSON PA-C
NPI 1285056770
Physician Assistant - Surgical in Jacksonville, FL

NPI Status: Active since January 17, 2014

Contact Information

10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 634-0640
Fax: (904) 634-0203

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  • Individual
  • Male
  • Years of Experience 14
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About BRANDON WILSON

This page provides the complete NPI Profile along with additional information for Brandon Wilson, a provider established in Jacksonville, Florida with a medical specialization in Physician Assistant, focusing in surgical and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1285056770 assigned on January 2014. The practitioner's primary taxonomy code is 363AS0400X with license number PA9107780 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1285056770
Provider Name
BRANDON WILSON PA-C
Gender
Male
Entity Type
Individual
Location Address
10475 CENTURION PKWY N STE 220 JACKSONVILLE, FL 32256
Location Phone
(904) 634-0640
Location Fax
(904) 634-0203
Mailing Address
6800 SOUTHPOINT PKWY STE 300 JACKSONVILLE, FL 32216
Mailing Phone
(904) 634-0640
Mailing Fax
(904) 634-0203
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
01-17-2014
Last Update Date
07-28-2025
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Location Map

Secondary Locations

  • 29277 US Highway 19 N
    Clearwater, FL 33761
    (713) 779-9800
  • 2627 Riverside Ave Ste 300
    Jacksonville, FL 32204
    (904) 634-0640
  • 2 Shircliff Way Ste 605
    Jacksonville, FL 32204
    (904) 634-0640
  • 3055 County Road 210 W Ste 110
    St Johns, FL 32259
    (904) 634-0640
  • 216 Southpark Cir E Ste 216
    St Augustine, FL 32086
    (904) 634-0640
  • 4565 US Highway 17 Ste 17
    Fleming Island, FL 32003
    (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300
    Jacksonville, FL 32218
    (904) 634-0640
  • 232 Ponte Vedra Park Dr
    Ponte Vedra Beach, FL 32082
    (904) 634-0640
  • 1690 US Highway 1 S Ste F
    St Augustine, FL 32084
    (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201
    Jacksonville, FL 32223
    (904) 634-0640

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9107780
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

PA9107780 (FL)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA9107780 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver 550 (2026) - HMO
  • AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver Standard (2026) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
122700900MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Brandon Wilson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Brandon Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42449316

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140207000515

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc

This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.

This service was performed 13 times for 13 patients

Placement of stabilizing device to back of 1 spine bone in neck

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

This service was performed 11 times for 11 patients

Prosthetic repair of shoulder joint, total shoulder

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

This service was performed 17 times for 17 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 88 times for 86 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 62 times for 61 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brandon Wilson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ASCENSION ST VINCENT'S SOUTHSIDE4201 BELFORT RD
JACKSONVILLE, FL 32216
(904) 296-3700Acute Care Hospitals

Reviews for BRANDON WILSON PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285056770, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 0 + 5 + 1 + 2 + 7 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1285056770.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Registered Nurse (Registered Nurse First Assistant)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Family Medicine (Sports Medicine)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Orthopaedic Surgery
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Durable Medical Equipment & Medical Supplies
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Occupational Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Chiropractor
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285056770, enumerated as an "individual" on January 17, 2014.

The provider is located at 10475 CENTURION PKWY N STE 220 JACKSONVILLE, FL 32256 and the phone number is (904) 634-0640.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Brandon Wilson is affiliated with: ASCENSION ST VINCENT'S SOUTHSIDE.