Alfred Christian Wilder, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

F0353 Issued in TX

Practice address

3405 Wandering MDWS
Austin, TX 78746-1650

Phone

(512) 695-7005

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fred Wilder Professional name

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• J. Lauren Crawford, MD, PLLC

  • Specialist
  • Austin, TX
  • NPI 1881903235
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1598854663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 WANDERING MDWS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461650",
            "telephone_number": "512-695-7005",
            "fax_number": "512-459-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 WANDERING MDWS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461650",
            "telephone_number": "512-695-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ALFRED",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "F0353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110122201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "WILDER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Courtney Elizabeth Wild
• Rosemarie Wild, RDN, LD
• Dapo Wilde
• Jessica Wilde, PA-C
• Wilder Wellness PLLC
• Andrea Wilder
• Justin Wilder, RN
• Katharina Ingeborg Leonore Wilder, APRN-C
• Olivia Jo Wilder, ANP
• Tyler Craig Wildey, DDS

• Plastic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.