1. Home
  2. Directory
  3. Indiana
  4. Jasper
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. BRUCE WILLIAM WILSON MD
NPI 1730933458
Student in an Organized Health Care Education/Training Program in Jasper, IN

Active since April 17, 2024PECOS Enrolled
966 BARTLEY ST, JASPER, IN 47546(812) 996-7810(812) 996-8465 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce William Wilson Md NPPES

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

DR. BRUCE WILLIAM WILSON MD (NPI 1730933458) is an individual student in an organized health care education/training program in Jasper, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730933458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRUCE WILLIAM WILSONCredential: MD
Location Address966 BARTLEY STJasper, IN 47546-2641
Mailing Address966 Bartley StJasper, IN 47546-2641 · (812) 996-7810 · Fax (812) 996-8465
Phone(812) 996-7810
Fax(812) 996-8465
Sole ProprietorNo
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1730933458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
966 BARTLEY ST, Jasper, IN 47546
Open in Google Maps ↗

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. Bruce William Wilson Md 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.

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.

DR. NIKOLA CENGELOVA CONRAD M.D.
Family Medicine
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
DR. OLUCHUKWU NWACHUKWU
Family Medicine
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
RACHEL NETTLETON MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
MARINA SIDRA GERGES
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-5425
ADAEZE EZEAKA MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
CHAYLA NICOLE HOPE MENDEL DO
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
MARY PETER MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810
KELCI WAYNE MD
Student in an Organized Health Care Education/Training Program
966 BARTLEY ST
JASPER, IN 47546
Dubois County (812) 996-7810

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 Bruce Wilson's NPI number?

The NPI number for Bruce Wilson is 1730933458. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Bruce Wilson located?

Bruce Wilson practices at 966 Bartley St, Jasper, IN 47546. The listed phone number is (812) 996-7810.

What is Bruce Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bruce Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bruce Wilson was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.