Brian Joseph Wilehlm, CNIM

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4348 Issued in GA

Practice address

2855 Julias Way NW
Marietta, GA 30064-6219

Phone

(770) 218-0776

Fax

(770) 795-1408

NPI assigned

May 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Neurodiagnostic Consultants, LLC

  • Neurology Physician
  • Marietta, GA
  • NPI 1881928646
  NPD

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1235796319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 JULIAS WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646219",
            "telephone_number": "770-218-0776",
            "fax_number": "770-795-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 JULIAS WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646219",
            "telephone_number": "770-218-0776",
            "fax_number": "770-795-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEHLM",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "4348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABRET",
            "identifier": "4348",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndconsultants@bellsouth.net",
            "affiliation": "N",
            "address_1": "2855 Julias Way NW",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300646219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wildbrook Psychiatry, LLC
• Kim Wilder-Dyer, MD
• Marina Shikhris Wilder, MD
• Walter B Wildstein, M.D.
• Wildwood Eye Care LLC
• Gennifer N. Wiley, MD
• Janice Wiley, RDLDCDE
• Marian Wilim, N.P.
• Vicki Lynn Wilkerson, LPC
• Brandon Wilkes, RBT

• Clinical Neuropsychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.