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

Richard Boulware Wilson, MD

Individual provider Surgery Physician · NPI 1356331821

Richard Boulware Wilson, MD is a General Surgery in Panama City, Florida. Graduated from Emory University School of Medicine in 1993, 33 years ago. Practices with North Florida Surgeons PA, a 336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Trained at
Emory University School of Medicine
Licensed in
FL
In the registry since
2005
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

2407 Ruth Hentz Ave
Panama City, FL 32405-2259
Phone: (850) 522-5022
Fax: (850) 387-0807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 740 Harrison Ave, Panama City, FL 32401-2524 — (850) 785-3232

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME76205 (FL)

Record details

NPI number1356331821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020
Mailing address11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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