{"npi":"1104823202","type":"NPI-1","status":"active","name":{"display":"Charles Wilson M.D.","other":[],"first":"CHARLES","last":"WILSON","middle":"E.","credential":"M.D."},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"208800000X","description":"Urology Physician","primary":true,"state":"AL","license":"6987"},{"code":"208800000X","description":"Urology Physician","primary":false,"state":"MS","license":"15126"}]},"addresses":[{"purpose":"LOCATION","street_1":"541 W COLLEGE ST","city":"FLORENCE","state":"AL","postal_code":"356305326","country_code":"US","street_2":"SUITE 3500","phone":"2567182188","fax":"2567183363"},{"purpose":"MAILING","street_1":"541 W COLLEGE ST","city":"FLORENCE","state":"AL","postal_code":"356305326","country_code":"US","street_2":"SUITE 3500","phone":"2567182188","fax":"2567183363"}],"license":{"state":"AL","number":"6987"},"identifiers":[{"type_code":"01","label":"Other","value":"340020199","state":"AL","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"340020200","state":"MS","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"4042085","state":"TN","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"51509142","state":"AL","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"0126868","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"4046425","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"4123452","state":null,"issuer":"AETNA"},{"type_code":"01","label":"Other","value":"4661630001","state":null,"issuer":"PALMETTO DMERC"},{"type_code":"01","label":"Other","value":"1416173","state":"PA","issuer":"HIGHMARK BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"529912610","state":"AL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050630000650","type_code":"14-34","type_desc":"PRACTITIONER - UROLOGY","state":"AL","pac_id":"7012953912"}]},"enumeration_date":"2005-07-05","last_updated":"2015-01-13","_meta":{"source":"NPPES","snapshot_date":"2015-01-13","doc_url":"https://findmynpi.com/api"}}