What is Collis Wilson's NPI number?

Collis Wilson's National Provider Identifier (NPI) is 1043155542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Collis Wilson's specialty?

Collis Wilson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Collis Wilson located?

Collis Wilson's practice location on file with NPPES is 1275 E 84th St, Brooklyn, NY 11236-4911.

What is Collis Wilson's phone number?

The practice phone number listed in the NPPES registry for Collis Wilson is (347) 873-2161.

Is Collis Wilson's NPI active?

Yes — Collis Wilson's NPI (1043155542) is active in the NPPES registry as of the last update on 2026-04-21.

IndividualActive

Collis Wilson, SPECIALIST

NPI 1043155542 · Specialist · Brooklyn, NY

Collis Wilson, SPECIALIST is a Specialist provider in Brooklyn, NY (NPI 1043155542).

Provider details

NPI number: 1043155542
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: SPECIALIST
Sex: Male
Sole proprietor: Yes
License: 2022342261 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 2022342261 (NY)
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1275 E 84th St

Brooklyn, NY 11236-4911

Phone: (347) 873-2161

Street-level locationGet directions

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Mailing address