Bradley Rix Wilson, DDS, MSD
General Practice Dentistry · Broken Arrow, OK
Practice location
2619 S Elm PlBroken Arrow, OK 74012-7878
- Phone
- (918) 872-0218
NPI record
- NPI
- 1053329185
- Entity type
- Individual (Type 1)
- Enumeration date
- August 4, 2006
- Last updated
- August 19, 2025
- Certified
- August 19, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
3138 | OK |
| General Practice Dentistry | 1223G0001X |
8242 | TX |
Mailing address
27234 Stark LnConroe, TX 77385-8071
- Phone
- (329) 981-9418
About Dr. Wilson
Bradley Rix Wilson, DDS, MSD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2619 S Elm Pl, Broken Arrow, OK 74012-7878. The NPI number 1053329185 was assigned on August 4, 2006 and the record was last updated on August 19, 2025.
Dr. Wilson lists 2 licenses in the registry: #3138 (OK) for General Practice Dentistry; #8242 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bradley Rix Wilson, DDS, MSD?
The NPI number is 1053329185.
What is the phone number of Dr. Wilson?
The phone number listed for the practice location is (918) 872-0218.
Where is Dr. Wilson located?
2619 S Elm Pl, Broken Arrow, OK 74012-7878.
What is the taxonomy code for Dr. Wilson?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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