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

Dr. Eugene Wiley Wilson IV, DO

Individual provider Diagnostic Radiology Physician · NPI 1922099746

Dr. Eugene Wiley Wilson IV, DO is a Diagnostic Radiology in Columbia, South Carolina. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2004, 22 years ago. Practices with Rome Radiology Group PA, a 22-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IN
In the registry since
2005
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

84 Mallet Hill Ct
Columbia, SC 29223-3126
Phone: (803) 509-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 02002999A (IN)

Record details

NPI number1922099746
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 1, 2005
Last updated in NPPESMarch 20, 2013

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2004 (22 years in practice)
Group practice Rome Radiology Group Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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