NPIMap

Individual provider Active NPI

Brian M Wickwire, M.D.

  • Internal Medicine Physician
  • Rio Grande City, TX
National Provider Identifier
1184622573
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3524 Issued in TX
Practice address
600 N Garza St Ste a
Rio Grande City, TX 78582
Phone
(956) 487-0846
NPI assigned
Jul 11, 2005
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3524 TX Primary

Addresses

Primary practice location

600 N Garza St Ste a
Rio Grande City, TX 78582

Mailing address

PO Box 1689
Pharr, TX 78577-1630
Phone (956) 787-0787

Other practice location 1

801 W 1st St
San Juan, TX 78589-2276
Phone (956) 787-8915 ext. 239

Other identifiers 1

IdentifierTypeStateIssuer
154778801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000190 TX Practitioner - Internal Medicine 2668659509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuestra Clinica del Valle, Inc.Group PAC ID 8921916552, 28 clinicians

Practice addresses (Care Compare)

801 W 1St St
San Juan, TX 78589-2276
Phone (956) 787-8915

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince Dec 13, 2001 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince Dec 13, 2001 Accepting new patients

Locations

105 S 10th St
Donna, TX 78537
Phone (956) 464-5809

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

600 N Garza St
Ste A
Rio Grande City, TX 78582
Phone (956) 487-0846

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Interoperability endpoints

  • Direct secure messaging: brian.wickwire@ncdv.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 8

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1184622573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771630",
            "telephone_number": "956-787-0787",
            "fax_number": "956-787-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARZA ST STE A",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "78582",
            "telephone_number": "956-487-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W 1st St",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785892276",
            "country_code": "US",
            "telephone_number": "956-787-8915 x239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKWIRE",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154778801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.