person
Bradley A Wilson, MD
Surgery Physician in Mattoon, Illinois
NPI 1528046141

Bradley A Wilson is a Surgery Physician based in Mattoon, IL. Bradley A Wilson practices in Mattoon, IL and has the professional credentials of MD. The NPI Number for Bradley A Wilson is 1528046141 and holds a License No. 2005016227 (Illinois).

The current practice location address for Bradley A Wilson is 1000 Health Center Dr Ste 101, Mattoon, IL and can be reached out via phone at 217-258-4020 and via fax at 217-258-4023.

Location: 1000 Health Center Dr Ste 101, Mattoon, IL, 61938-4693
person
Provider Profile Details
NPI Number
1528046141
Provider Name
Bradley A Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Health Center Dr Ste 101, Mattoon, IL, 61938-4693
Phone Number
217-258-4020
Fax Number
217-258-4023
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208959 01 IL MEDICARE GRP NUMBER
207215500 05 MO
207988 01 IL MEDICARE GRP NUMBER
CE9335 01 IL RR GROUP
P00396925 01 IL RR MEDICARE NUMBER
718653 01 MO HEALTHLINK
7470693 01 MO AETNA
I37919 01 MO MERCY HEALTH PLANS
institution
Provider Business Practice Location Address Details
Address
1000 Health Center Dr Ste 101
City
State
Zip
61938-4644
Phone Number
217-258-4020
Fax Number
217-258-4023
person
Provider Business Mailing Address Details
Address
1000 Health Center Dr Ste 101
City
State
Zip
61938-4644
Phone Number
217-258-4020
Fax Number
217-258-4023
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
2005016227 (Missouri)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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