1. Home
  2. Directory
  3. Arizona
  4. Glendale
  5. Dentist
  6. NPI Profile

DR. BRIAN J WILSON DDS
NPI 1285719070
Dentist - General Practice in Glendale, AZ

Active since October 27, 2006PECOS Enrolled
17250 N 43RD AVE, STE 1, GLENDALE, AZ 85308(602) 938-7750(602) 938-0765 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian J Wilson Dds NPPES

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

DR. BRIAN J WILSON DDS (NPI 1285719070) is an individual general practice provider in Glendale, Arizona, licensed in Arizona (1826) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285719070
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN J WILSONCredential: DDS
Location Address17250 N 43RD AVE, STE 1Glendale, AZ 85308
Mailing Address17250 N 43rd Ave, Ste 1Glendale, AZ 85308 · (602) 938-7750 · Fax (602) 938-0765
Phone(602) 938-7750
Fax(602) 938-0765
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285719070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 1826
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
17250 N 43RD AVE, Glendale, AZ 85308
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian J Wilson Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Carlos Apache Healthcare Corporation
102 mi
Critical Access Hospital
103 MEDICINE WAY ROAD
Peridot, AZ 85542
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1265813075 (928) 475-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 8

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

JOHN J. MEHLEM, JR., DMD, PC
Dentist (General Practice)
17250 N 43RD AVE, SUITE #1
GLENDALE, AZ 85308
Maricopa County (602) 938-7750
BRIAN J. WILSON DDS, PC
Dentist (General Practice)
17250 N 43RD AVE, SUITE #1
GLENDALE, AZ 85308
Maricopa County (602) 938-7750
BELLAIR MEDICAL CLINIC, P.C.
Pediatrics
17250 N 43RD AVE, SUITE 4
GLENDALE, AZ 85308
Maricopa County (602) 978-4157
DR. JOHN CHRISTOPHER OATIS DDS
Dentist
17250 N 43RD AVE, SUITE 3
GLENDALE, AZ 85308
Maricopa County (602) 978-0901
DR. VANESSA COELHO MARINHO D.D.S., M.S.
Dentist (Periodontics)
17250 N 43RD AVE, SUITE 5
GLENDALE, AZ 85308
Maricopa County (602) 978-8433
DR. JOHN J MEHLEM DMD
Dentist (General Practice)
17250 N 43RD AVE, STE 1
GLENDALE, AZ 85308
Maricopa County (602) 938-7750
KARA VILLAREAL MD PC
Surgery (Trauma Surgery)
17250 N 43RD AVE
GLENDALE, AZ 85308
Maricopa County (602) 643-0070
DR. ROLANDO LOYOLA VILLAREAL MD
Surgery
17250 N 43RD AVE, SUITE 4
GLENDALE, AZ 85308
Maricopa County (602) 978-4157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Wilson's NPI number?

The NPI number for Brian Wilson is 1285719070. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Brian Wilson located?

Brian Wilson practices at 17250 N 43rd Ave Ste 1, Glendale, AZ 85308. The listed phone number is (602) 938-7750.

What is Brian Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brian Wilson enrolled in Medicare?

Yes. Brian Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wilson reassigns Medicare benefits to San Carlos Apache Healthcare Corporation (Peridot, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.