Individual
BERNARD J WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-7420
(402) 219-7651
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
19185
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00294
BCBS
NE
05
—
0586131
—
IA
05
—
2087727301
—
KS
01
—
236610
MIDLAND'S CHOICE
NE
01
—
47-00060
UHC
—
05
—
470780857 02
—
NE
Enumeration date
08/10/2006
Last updated
02/26/2008
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