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

Individual provider Family Nurse Practitioner · NPI 1508339987

Bradley Russell Wilson, FNP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 470429662 (MI)

Record details

NPI number1508339987
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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