MEDICARE: DR. BRIAN CHARLES WILHELM DPT

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	225100000X	Physical Therapist	PT7067	ME
2	225100000X	Physical Therapist	009141	KY
3	225100000X	Physical Therapist	PT13065	SC

General Provider Information

NPI Number	:	1861222788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN CHARLES WILHELM DPT

Provider Business Mailing Address
First Line	:	890 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-3418
Country	:	US
Telephone Number	:	843-705-2572
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-3418
Country	:	US
Telephone Number	:	843-705-2572
Fax Number	:

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

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	09/22/2025

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