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

Brandon Ross Wilson, PA

Individual provider Physician Assistant · NPI 1336491588

Brandon Ross Wilson, PA is a Physician Assistant in Everett, Washington. Qualified in 2012, 14 years ago. Practices with Western Washington Medical Group Inc Ps, a 112-clinician group and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
14
Licensed in
NM, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3726 Broadway Ste 201
Everett, WA 98201-3788
Phone: (425) 317-9119
Fax: (425) 317-9118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60319271 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA2012-0050 (NM)

Record details

NPI number1336491588
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2012
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Western Washington Medical Group Inc Ps — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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