1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Internal Medicine
  6. NPI Profile

DR. BRENDA WILLIS-WADE MD
NPI 1902420573
Internal Medicine in Lawrenceville, GA

Active since May 30, 2020
1600 KESWICK PLACE DR, LAWRENCEVILLE, GA 30043(678) 773-6270 Get Directions Write a Review

NPPES record last updated: May 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brenda Willis-wade Md NPPES

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

DR. BRENDA WILLIS-WADE MD (NPI 1902420573) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Michigan (4301044144) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1902420573
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRENDA WILLIS-WADECredential: MD
Location Address1600 KESWICK PLACE DRLawrenceville, GA 30043-6627
Mailing Address1600 Keswick Place DrLawrenceville, GA 30043-6627 · (678) 773-6270
Phone(678) 773-6270
Sole ProprietorYes
Enumeration DateMay 30, 2020
NPPES CertifiedMay 30, 2020
✔ NPI 1902420573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301044144
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 KESWICK PLACE DR, Lawrenceville, GA 30043
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Brenda Willis Md

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 Brenda Willis-wade's NPI number?

The NPI number for Brenda Willis-wade is 1902420573. It was assigned to this individual provider in the NPPES registry on May 30, 2020. The provider is also known as Dr. Brenda Willis MD.

Where is Brenda Willis-wade located?

Brenda Willis-wade practices at 1600 Keswick Place Dr, Lawrenceville, GA 30043. The listed phone number is (678) 773-6270.

What is Brenda Willis-wade's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Brenda Willis-wade was last updated on May 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.