ROGER M. WILSON MD – NPI #1245325794
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

ROGER WILSON is a psychiatry & neurologist located in BANGOR, ME. NPPES has assigned the NPI number 1245325794 to ROGER WILSON on October 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 7 years ago on Jul 09, 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 ROGER WILSON below.

NPI Profile for
ROGER M. WILSON

NPI Number
1245325794
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROGER M. WILSON
Credentials
MD
Primary location
DOROTHEA DIX AGENCY
BANGOR, ME 04401
Phone: (207) 944-0733 Fax: (207) 288-3151
Mailing address
18 BRIDGE STREET
BAR HARBOR, ME 04609
Phone: (207) 288-5082 Fax: (207) 288-7024
Sole Proprietor
No
Updated
Identifiers

Identifiers for ROGER 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
MEDICAIDME010211483
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
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)
ME 007254
2084P0800X
- Psychiatry & Neurology / Psychiatry
ME MD7254

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.