Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730152992 Deactivated / Inactive NPI Male Practitioner

Dr. Gary E Wilson , MD

General Practice • Brooksville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2006
NPI Deactivation Date June 11, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Wilson, MD was a registered General Practice practicing in Brooksville, FL. Throughout an active medical career spanning 20 years, Dr. Wilson provided care at the practice location at 11373 CORTEZ BLVD until profile deactivation on 2026-06-11.

Practice Location & Contact Primary Location

Practice Address

11373 Cortez Blvd
Suite 300

Brooksville, FL 346135414

Telephone 3525979095
Fax 3525971446
Associated Practice Facility / Clinic
🏢 Vitreo Retinal Surgeons Llc Facility NPI 1194714485

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Brooksville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Brooksville, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME16628

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
John Crognale , PA

Physician Assistant

NPI 1871682955

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11373 CORTEZ BLVD, SUITE 300, BROOKSVILLE, FL 346135414 (Tel: 3525979095)

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Updated Business Mailing Address July 08, 2007

Registered at 11373 CORTEZ BLVD, SUITE 300, BROOKSVILLE, FL 346135414 (Tel: 3525979095)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY WILSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #ME16628 in FL)

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Initial NPI Registration & Enumeration February 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730152992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: July 08, 2007
Deactivation Date: June 11, 2026

Mailing Address

11373 Cortez Blvd, Suite 300

Brooksville, FL 346135414

Phone: 3525979095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.