G Sam Wilson MD PC
G Sam Wilson MD PC is a healthcare organization registered as Specialist in Bountiful, UT, holding Type 2 (organization) NPI 1962521120 since 2007. The authorized official on file is G. Wilson, Provider.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962521120 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | G Sam Wilson MD PC |
| Practice address | 440 MEDICAL DR, Bountiful, UT, 84010 |
| Phone | 8012989100 |
| Fax | 8012982238 |
| Enumeration date | 2007-03-28 |
| Last updated in NPPES | 2007-11-19 |
Authorized official
| Name | G. Wilson |
|---|---|
| Title | Provider |
| Phone | 8012989100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 1754341205 | UT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5287442330001 | Medicaid | UT | — |
Copy-ready billing details
Provider: G Sam Wilson MD PC NPI: 1962521120 Taxonomy: 174400000X (Specialist) Address: 440 MEDICAL DR, Bountiful, UT, 84010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780681775 | Scott Erickson | Individual | Family Medicine Physician | Bountiful, UT |
| 1316035942 | Jon Oberg | Individual | Surgery Physician | Bountiful, UT |
| 1033238209 | David Schow | Individual | Medical Physician Assistant | Bountiful, UT |
| 1043456999 | Bountiful Diabetes Clinic LLC | Organization | Specialist | Bountiful, UT |
| 1851705578 | Wasatch Foot and Ankle Specialists, LLC | Organization | Foot & Ankle Surgery Podiatrist | Bountiful, UT |
| 1447135975 | Davis County General Surgery, P.L.L.C | Organization | Surgery Physician | Bountiful, UT |
Verify this record
Cross-check NPI 1962521120 against the authoritative CMS record: view G Sam Wilson MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for G Sam Wilson MD PC?
Who is the authorized official for G Sam Wilson MD PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-19.