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Larry Wilson, MD
NPI 1629062211 · Family Medicine Physician · Baltimore, MD
Larry Wilson, MD is a Family Medicine Physician provider in Baltimore, MD (NPI 1629062211).
Provider details
- NPI number
- 1629062211
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D26253 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES 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
4924 Campbell Blvd
Baltimore, MD 21236-5908
Phone: (443) 461-1997
Street-level locationGet directions
Mailing address
Po Box 759047
Baltimore, MD 21275-9047
Registry dates
- Enumerated
- 2005-09-09
- Last updated
- 2018-03-27
Frequently asked questions
- What is Larry Wilson's NPI number?
- Larry Wilson's National Provider Identifier (NPI) is 1629062211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Wilson's specialty?
- Larry Wilson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Larry Wilson located?
- Larry Wilson's practice location on file with NPPES is 4924 Campbell Blvd, Baltimore, MD 21236-5908.
- What is Larry Wilson's phone number?
- The practice phone number listed in the NPPES registry for Larry Wilson is (443) 461-1997.
- Is Larry Wilson's NPI active?
- Yes — Larry Wilson's NPI (1629062211) is active in the NPPES registry as of the last update on 2018-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.