BRIAN WILSON (MD) – Family Medicine Physician, NPI 1124059803

BRIAN WILSON (MD) is a healthcare provider. based in Fort myers, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME99039 (FL). The NPI Number for BRIAN WILSON (MD) is 1124059803

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN WILSON (MD)
NPI
1124059803
Phone
(239) 949-1050
Address
PO BOX 2147
Enumeration Date
5 July 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2399496109
Graduation Year
1984 (42 years ago)
PAC ID
8123216736
Group Practice PAC ID
4183532062
Professional Enrollment ID
I20101227000316

Contacts

Secure Messaging
bwilson249172@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BRIAN WILSON (MD)

  • Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States

    FORT MYERS, FL 339022147

    Phone: (239) 949-1050

    Fax: (239) 949-6111

    Type: Mailing

  • Boulevard, General San Martín, Villa Portal Andino, Esmeralda, Colina, Provincia de Chacabuco, Santiago Metropolitan Region, Chile

    ESTERO, FL 341358127

    Phone: (239) 949-1050

    Fax: (239) 949-6111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33902)

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Provider's Procedures

BRIAN WILSON (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL85610Blood test, clotting time5324

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183532062View full group profile

Reviews

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Frequently asked questions

Can I cross-check BRIAN WILSON (MD) using NPI 1124059803?
NPI 1124059803 belongs to BRIAN WILSON (MD); compare other details if you need extra assurance.
Active or inactive — what applies to BRIAN WILSON (MD)?
You should see BRIAN WILSON (MD) as active in CMS-hosted NPPES data.
How would a patient describe BRIAN WILSON (MD)'s focus?
For BRIAN WILSON (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN WILSON (MD)?
Travel planning: use Fort Myers, Florida as the reference point for BRIAN WILSON (MD), then confirm.
When was this NPI issued?
Enumeration for BRIAN WILSON (MD) is noted as July 5, 2006 where the registry provides it.

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