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

Dr. Charles A Wilson, DO

Individual provider Family Medicine Physician · NPI 1295781359

Dr. Charles A Wilson, DO is a Family Practice in Las Vegas, Nevada. Graduated from Nova Southeastern College of Osteo Medicine in 1996, 30 years ago. Practices with Ridgecrest Regional Hospital, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
30
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
NV
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6360 Boulder Hwy
Las Vegas, NV 89122-7301
Phone: (725) 228-4520
Fax: (877) 889-5390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Jose Figueres Ave Ste 485, San Jose, CA 95116-1597 — (408) 259-3022

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO1782 (NV)

Record details

NPI number1295781359
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing addressPo Box 616788, Orlando, FL 32861-6788

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 1996 (30 years in practice)
Group practice Ridgecrest Regional Hospital — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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