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

Bruce Wilson

Individual provider Physician Assistant · NPI 1093767667

Bruce Wilson is a Physician Assistant in Whiteville, North Carolina. Qualified in 2000, 26 years ago. Practices with Columbus Regional Healthcare System, a 119-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006

Practice location Address checks out

320 Jefferson St
Whiteville, NC 28472-3602
Phone: (910) 641-8600
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03556 (NC)

Record details

NPI number1093767667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESFebruary 12, 2019
Mailing address320 Jefferson St, Whiteville, NC 28472-3602

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Columbus Regional Healthcare System — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Whiteville