MEDICARE: DR. MATTHEW BRIAN WILKINSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	036-107047	IL
2	208000000X	Pediatrics Physician	036107047	IL
3	207R00000X	Internal Medicine Physician	036107047	IL
4	207R00000X	Internal Medicine Physician	2025045328	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	08232205	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1821083866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW BRIAN WILKINSON M.D.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	888-987-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	9150 OVERLAND PLZ
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-6123
Country	:	US
Telephone Number	:	314-449-9633
Fax Number	:	314-449-9634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	10/31/2025

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Directions to “ DR. MATTHEW BRIAN WILKINSON M.D.” Practice Location

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