Active NPI
Bradley A Wisler, M.D.
- Interventional Pain Medicine Physician
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- Q9767
- Practice address
- 351 Cypress Creek Rd Ste 202
Cedar Park, TX 78613-4657 - Phone
- (512) 244-4272
- Fax
- (512) 244-2895
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125061134 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 57404 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Q9767 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | Q9767 | TX | Primary |
Addresses
Primary practice location
351 Cypress Creek Rd Ste 202
Cedar Park, TX 78613-4657
Mailing address
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 492-3743
Other practice location 1
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 College St
Suite C
Bastrop, TX 78602-3948
Phone (512) 244-4272
2000 S Mays St
Round Rock, TX 78664-7580
Phone (512) 244-4272
351 Cypress Creek Rd
Suite 201
Cedar Park, TX 78613-4657
Phone (512) 244-4272
6000 S Mopac
Suite 100
Austin, TX 78749
Phone (512) 244-4272
Hospital & facility affiliations
- Ascension Seton Cedar Park
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 83.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125061134 | IL | MD | Anesthesiology Physician |
| 57404 | OH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Malone MD PA | Anesthesiology | Current | Accepting new patients |
| Mark Malone, MD PA | Pain Medicine | Current | Accepting new patients |
| Mark Malone MD PA | Pain Medicine | Current | Accepting new patients |
Locations
6000 S Mopac Expy
Ste 100
Austin, TX 78749
1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895
351 Cypress Creek Rd
Ste 201
Cedar Park, TX 78613
Phone (254) 669-9643
351 Cypress Creek Rd
Ste 202
Cedar Park, TX 78613
Phone (512) 220-3453
2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743
Interoperability endpoints
- bradley.wisler.1@24201.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Round Rock, TX
- NPI 1407057250
-
- Pain Medicine (Anesthesiology) Physician
- Waco, TX
- NPI 1710522859
-
- Pain Medicine (Anesthesiology) Physician
- Killeen, TX
- NPI 1982581427
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cedar Park, TX
- NPI 1376662296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1043573892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S MAYS ST STE 201",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647580",
"telephone_number": "512-492-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 CYPRESS CREEK RD STE 202",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134657",
"telephone_number": "512-244-4272",
"fax_number": "512-244-2895"
}
],
"practiceLocations": [
{
"address_1": "2000 S Mays St Ste 201",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786647580",
"country_code": "US",
"telephone_number": "512-244-4272",
"fax_number": "512-244-2895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISLER",
"first_name": "BRADLEY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125061134",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "57404",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "Q9767",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "Q9767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.