Desmonda Brady Wixson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301072883 Issued in MI

Practice address

4613 W Main St Ste a
Kalamazoo, MI 49006-2698

Phone

(269) 488-8672

Fax

(269) 488-8673

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Desmonda L. Brady Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

University of Texas Medical Branch at Galveston, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Ironwood Hospital Hospital, Ironwood, MI, CCN 231333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Ironwood, MI
  • NPI 1649297342
  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics Inc.

  • Ophthalmology Physician
  • Iron River, MI
  • NPI 1073293999
  NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD
• Michigan State University Kalamazoo Center for Medical Studies

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1568467249
  NPD (past)
• Western Michigan University School of Medicine

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1316212343
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Ironwood Hospital & Clinics Inc.

  • Ophthalmology Physician
  • Iron River, MI
  • NPI 1073293999

  Hospital

  Care Compare affiliation
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Surgery Physician
  • Ironwood, MI
  • NPI 1568578391

  Hospital

  Care Compare affiliation
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Ophthalmology Physician
  • Ironwood, MI
  • NPI 1609034099

  Hospital

  Care Compare affiliation
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Ironwood, MI
  • NPI 1649297342
  Care Compare affiliation
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753

  Hospital

  Care Compare affiliation
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Hurley, WI
  • NPI 1154434249

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1013947522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 W MAIN ST STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062698",
            "telephone_number": "269-488-8672",
            "fax_number": "269-488-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 W MAIN ST STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062698",
            "telephone_number": "269-488-8672",
            "fax_number": "269-488-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXSON",
        "first_name": "DESMONDA",
        "middle_name": "BRADY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301072883",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301072883",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4605400",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DESMONDA",
            "last_name": "BRADY",
            "middle_name": "L.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wishing Well Home Care LLC
• Joy Marie Wisser, PAC
• Jeffrey F Withers, R.PH.
• Shayanna Withers
• Veronica Witherspoon
• Alexander Gregory Wlodarczak, DPT
• Wmu School of Medicine CMDS Clinic
• Devin James Woelzlein, MD
• Eric Seashore Wolatz, MD
• Randall Wolbert, LMSW

• Internal Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.