OrganizationActive
G Sam Wilson MD PC
NPI 1962521120 · Specialist · Bountiful, UT
G Sam Wilson MD PC is a Specialist organization in Bountiful, UT (NPI 1962521120).
Provider details
- NPI number
- 1962521120
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- G. Wilson, Provider(801) 298-9100
- License
- 1754341205 (UT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
440 Medical Dr
Bountiful, UT 84010-4950
Phone: (801) 298-9100
Fax: (801) 298-2238
Street-level locationGet directions
Mailing address
440 Medical Dr
Bountiful, UT 84010-4950
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-11-19
Frequently asked questions
- What is G Sam Wilson MD PC's NPI number?
- G Sam Wilson MD PC's National Provider Identifier (NPI) is 1962521120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is G Sam Wilson MD PC?
- G Sam Wilson MD PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is G Sam Wilson MD PC located?
- G Sam Wilson MD PC's practice location on file with NPPES is 440 Medical Dr, Bountiful, UT 84010-4950.
- What is G Sam Wilson MD PC's phone number?
- The practice phone number listed in the NPPES registry for G Sam Wilson MD PC is (801) 298-9100.
- Who is the authorized official for G Sam Wilson MD PC?
- The authorized official listed on G Sam Wilson MD PC's NPPES record is G. Wilson, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is G Sam Wilson MD PC's NPI active?
- Yes — G Sam Wilson MD PC's NPI (1962521120) is active in the NPPES registry as of the last update on 2007-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.