Brian A Wiley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R0343 Issued in TX

Practice address

407 W Danieldale Rd # 100
Duncanville, TX 75137-3927

Phone

(214) 941-3192

NPI assigned

Sep 22, 2008

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.wiley@ppoa.directbygreenway.com

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.

• Trusted Hearts Health Services, PLLC

  dba Aurora Concepts Madisonville

  • Family Medicine Physician
  • Madisonville, TX
  • NPI 1477330405
  Medicare reassignment NPD
• Texas Pain Relief Group PLLC

  dba Texas Primary Care Group

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1396128328

  Family Medicine

  NPD (past)
• Your Care Clinics LLC

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1174780589

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1346490851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W DANIELDALE RD # 100",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373927",
            "telephone_number": "214-941-3192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 E Renner Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823575",
            "country_code": "US",
            "telephone_number": "469-298-1442",
            "fax_number": "817-886-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Westpark Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403735",
            "country_code": "US",
            "telephone_number": "817-722-5040",
            "fax_number": "817-554-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "ME102576",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00811430",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000433500",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "30675",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "AS713Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shronda Michelle Whitfield
• Patrick Ryan Whittington, D.D.S., M.S.
• Salima A Widwani, PTA
• Keith Weldon Wiggins, HIS
• Jeffrey A. Wildridge, O.D.
• William T. Hamlin DO PA
• Deanna Patrice Williams, L.P.O.
• Dexter Dewayne Williams, PMHNP-BC
• Elena A Williams
• Kristina Denise Williams, PC

• Family Medicine Physician in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.