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

Mr. Bruce Douglas Wilson

Individual provider Peer Specialist · NPI 1700736741

Mr. Bruce Douglas Wilson is a Peer Specialist in Owasso, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

7617 E 82nd Pl N
Owasso, OK 74055-9010
Phone: (405) 410-5517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1700736741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address7617 E 82nd Pl N, Owasso, OK 74055-9010

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