BRIAN EVANS WILSON CPSW
NPI 1417769001
Peer Specialist in Gamerco, NM

Q: What is Brian Wilson's NPI number?

The NPI number for Brian Wilson is 1417769001. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Q: What is Brian Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 January 22, 2025

309 S. CHINO LOOP, GAMERCO, NM 87317(505) 488-2380 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Brian Evans Wilson Cpsw NPPES

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

BRIAN EVANS WILSON CPSW (NPI 1417769001) is an individual peer specialist in Gamerco, New Mexico, licensed in New Mexico (1476) and active in the NPI registry since January 2025. He maintains a secondary practice location in Gallup.

NPPES Registry Identity

NPI1417769001

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameBRIAN EVANS WILSONCredential: CPSW

Location Address309 S. CHINO LOOPGamerco, NM 87317

Mailing AddressPo Box 3809Gallup, NM 87305-3809 · (505) 870-9868

Phone(505) 488-2380

Sole ProprietorNo

Enumeration DateJanuary 22, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1417769001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NM · 1476

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

309 S. CHINO LOOP, Gamerco, NM 87317

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Secondary Practice Location 1

Location 12915 W Historic Highway 66 Rm 1203Gallup, NM 87301-6812 · Phone (505) 870-1483

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 1417769001. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Brian Wilson located?

Brian Wilson practices at 309 S. Chino Loop, Gamerco, NM 87317. The listed phone number is (505) 488-2380.

What is Brian Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.