Braden Wilson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

W1919 Issued in TX

Practice address

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435

Phone

(903) 526-0444

Fax

(903) 595-6650

NPI assigned

Mar 19, 2019

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 1

Medicare fee-for-service enrollment

Enrolled in AR, TX2 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

Specialty

Ophthalmology

Education

Oklahoma State University College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles L. Heaton, M.D. P.a.Group PAC ID 1557257615, 18 clinicians

Jeffries Eye Clinic PAGroup PAC ID 7517153828, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.06 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: braden.wilson.p1@direct.heatoneye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: braden.wilson.p1@direct.jeffrieseye.nextgenshare.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.

• Charles L. Heaton , M.D. P.a.

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1528127172
  Medicare reassignment Care Compare group NPD
• Jeffries Eye Clinic PA

  • Ophthalmology Physician
  • Rogers, AR
  • NPI 1427142934
  Medicare reassignment Care Compare group NPD
• Heaton Laser and Surgery Center L L C

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1720081664
  NPD

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1558820381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "903-526-0444",
            "fax_number": "903-595-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "903-526-0444",
            "fax_number": "903-595-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRADEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E16658",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "W1919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303016001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James M Willtrout
• Wilson Chiropractic and Acupuncture PLLC
• Wilson Renfroe, PSYD, PLLC
• Alexander Wilson, PT, DPT
• Benjamin Gregg Wilson, D.C.
• Clark Alexander Wilson, MD
• Damere Tianna Wilson, PHD
• Daniel Wilson, DO
• Dawn Marcelle Wilson, LCSW
• Emily Wilson

• Ophthalmology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.

Verify at the official NPI Registry.