Dr Jonathan B Wilson, DO, DPT is a
Student In An Organized Health Care Education/training Program based in Birmingham, Alabama. Dr Jonathan B Wilson is licensed to practice in * (Not Available) (license number ) and his current practice location is
625 19th St S, Birmingham, Alabama. He can be reached at his office (for appointments etc.) via phone at
(205) 934-6957.
NPI number for Dr Jonathan B Wilson is 1811363575 and his current mailing address is 625 19th St S, Birmingham, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811363575.
Healthcare Provider's Profile
| Full Name | Dr Jonathan B Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 625 19th St S, Birmingham, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811363575
- Provider Enumeration Date: 08/18/2015
- Last Update Date: 05/04/2025
Medical Identifiers
Medical identifiers for Dr Jonathan B Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811363575 | NPI | - | NPPES |
| 511-68556 | Other | AL | BCBS OF AL |
| 511-68569 | Other | AL | BCBS OF AL |
| P01586197 | Other | AL | MEDICARE RR |
| 13765704 | Other | AL | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PTH7703 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan B Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan B Wilson, DO, DPT
625 19th St S,
Birmingham, AL 35233-1900
Ph: (205) 934-6957 | Dr Jonathan B Wilson, DO, DPT
625 19th St S,
Birmingham, AL 35233-1900
Ph: (205) 934-6957 |
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