Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Evans Wilson, CPSW

Individual provider Peer Specialist · NPI 1417769001

Brian Evans Wilson, CPSW is a Peer Specialist in Gamerco, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025

Practice location Address checks out

309 S Chino Loop
Gamerco, NM 87317
Phone: (505) 488-2380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2915 W Historic Highway 66 Rm 1203, Gallup, NM 87301-6812 — (505) 870-1483

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 1476 (NM)

Record details

NPI number1417769001
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 16, 2025