ROBERT B. WILSON M.D. – NPI #1477971885
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

ROBERT WILSON is a physician located in BOSSIER CITY, LA. NPPES has assigned the NPI number 1477971885 to ROBERT WILSON on April 02, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Jul 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT WILSON below.

NPI Profile for
ROBERT B. WILSON

NPI Number
1477971885
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT B. WILSON
Credentials
M.D.
Primary location
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111-2193
Phone: (318) 212-7982 Fax: (318) 212-7989
1 Other location(s):
6431 Fannin St
Suite MSB 3.151
Houston, TX 77030-1501
Phone: (713) 500-5800
Fax: (713) 500-5805
Mailing address
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone: (318) 212-8951 Fax: (318) 212-6752
Sole Proprietor
No
Updated
Identifiers

Identifiers for ROBERT WILSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA2449508
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
LA 306374

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.