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

Nicholas James Wilson, MD

Individual provider Internal Medicine Physician · NPI 1477872158

Nicholas James Wilson, MD is a Gastroenterology in Woodbridge, Virginia. Qualified in 2010, 16 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
16
Licensed in
PA, VA
In the registry since
2010
Specialties on file
3
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

14010 Smoketown Rd Ste 117
Woodbridge, VA 22192-4722
Phone: (703) 580-0181
Fax: (703) 897-8763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-9900

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 0101262381 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT197046 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT197046 (PA)

Record details

NPI number1477872158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESJuly 21, 2022
Mailing address14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4722

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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