BRYAN WILSON (MD) – Internal Medicine Physician, NPI 1013332915

BRYAN WILSON (MD) is a healthcare provider. based in Gig harbor, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 0101260836 (VA). The NPI Number for BRYAN WILSON (MD) is 1013332915

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN WILSON (MD)
NPI
1013332915
Phone
Not provided
Address
4708 BEAR CREEK LN
Enumeration Date
28 February 2014
Last Update Date
13 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607248411
Graduation Year
2014 (12 years ago)
PAC ID
3173744265
Group Practice PAC ID
8426062027
Professional Enrollment ID
I20250113001898
Address ID
CA920564506OC4002XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

Provider Addresses for BRYAN WILSON (MD)

  • 4708 BEAR CREEK LN

    GIG HARBOR, WA 983358348

    Phone:

    Type: Mailing

  • 9040 JACKSON AVE

    TACOMA, WA 984312869

    Phone: (612) 916-8558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: ABIOMED ($130).

Total Amount

$130

General + Research + Ownership

Payments

1

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$130
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210916001969IInternal MedicineORTBD
I20210928003473IInternal MedicineWATBD
I20250113001898IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2214$0
View full utilization report →

Insurance plans in this area (ZIP 98335)

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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: 8426062027View full group profile

Reviews

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Frequently asked questions

What is the registry number for BRYAN WILSON (MD)?
The registry entry for BRYAN WILSON (MD) shows NPI 1013332915.
Quick check: is BRYAN WILSON (MD) active?
Public NPPES data shows BRYAN WILSON (MD) with an active NPI status right now.
What services align with BRYAN WILSON (MD)'s listing?
BRYAN WILSON (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BRYAN WILSON (MD) in Gig Harbor, Washington?
For routing, start with Gig Harbor, Washington for BRYAN WILSON (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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