Individual provider Active NPI

Bradley A Wisler, M.D.

  • Interventional Pain Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1043573892
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
Q9767 Issued in TX
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

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161108002216 TX Practitioner - AnesthesiologyPractitioner - Pain Management 9133412646 Reassigns benefits to 1 organization
I20171211002416 OH Practitioner - Anesthesiology 9133412646

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
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
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

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 Hospital, Cedar Park, TX, CCN 670043

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as individual
Quality
83.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
125061134ILMDAnesthesiology Physician
57404OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone MD PA Anesthesiology Current Accepting new patients
Mark Malone, MD PA Pain Medicine CurrentSince Jan 22, 2021 Accepting new patients
Mark Malone MD PA Pain Medicine CurrentSince Jan 22, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.