Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett Leroy Wilson, DO

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1891223616

Bennett Leroy Wilson, DO is a Pathology in Madison, Wisconsin. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
WI
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-8443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Elmwood Ave Box 626, Rochester, NY 14642-0001 — (585) 273-4580

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 82161-21 (WI)

Record details

NPI number1891223616
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 24, 2017
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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