Individual provider · Type 1 NPI

Shontray Bernard Wilson, PA

Physician Assistant · Birmingham, AL

NPI number 1093601346 Active

Practice location

619 19th St S
Birmingham, AL 35249-1900

Call (205) 239-1623 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2770 (AL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093601346

Shontray Bernard Wilson, PA's National Provider Identifier is 1093601346, issued on Jun 14, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Birmingham, AL. The record was last updated on Jul 8, 2026.