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

Bradley Jay Wilson, MD

Individual provider Body Imaging Physician · NPI 1174810824

Bradley Jay Wilson, MD is a Diagnostic Radiology in Warren, Michigan. Qualified in 2011, 15 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (586) 573-5060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 675-9014

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301098675 (MI)
Body Imaging Physician Taxonomy 2085B0100X · Licence 4301098675 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301097675 (MI)

Record details

NPI number1174810824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2011
Last updated in NPPESMarch 17, 2018
Mailing address11800 East 12 Mile Road, Warren, MI 48093

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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