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

Individual provider Pediatrics Physician · NPI 1659076800

Dr. Bradley Thomas Wilson, MD is a Pediatrics Physician in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
Specialties on file
2
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

275 Michigan St NE Fl 9
Grand Rapids, MI 49503-2531
Phone: (616) 391-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 Michigan St Ne Fl 8, Grand Rapids, MI 49503-2531 — (616) 391-8810

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4351051375 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4351051375 (MI)

Record details

NPI number1659076800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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