CHARLES BRANDON WILSON SLP
NPI 1740981711
Speech-Language Pathologist in Colton, CA
About Charles Brandon Wilson Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES BRANDON WILSON SLP (NPI 1740981711) is an individual speech-language pathologist provider in Colton, California and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Brandon Wilson Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charles Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm Desert, CA 92211
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Wilson's NPI number?
The NPI number for Charles Wilson is 1740981711. It was assigned to this individual provider in the NPPES registry on March 15, 2023.
Where is Charles Wilson located?
Charles Wilson practices at 1007 E Cooley Dr # 107, Colton, CA 92324. The listed phone number is (909) 388-2200.
What is Charles Wilson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Charles Wilson enrolled in Medicare?
Yes. Charles Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charles Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Wilson reassigns Medicare benefits to Easy Speech Pathology, Inc. (Palm Desert, CA). 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 Charles 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 Charles Wilson was last updated on August 21, 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.
# Charles Brandon Wilson, SLP · NPI 1740981711
Speech-Language Pathologist provider in Colton, California. Individual provider, active in the CMS NPPES registry since March 15, 2023.
## Identity
- **NPI:** 1740981711 (Entity type: Individual)
- **Enumerated:** March 15, 2023
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1007 E COOLEY DR # 107, Colton, CA 92324-3901
- **Phone:** (909) 388-2200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Easy Speech Pathology, Inc. (NPI 1124434261, Palm Desert, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740981711) · Data from the CMS NPPES public registry.