Active NPI
Brian Frederick Wiseman, M.D.
- Neurology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 40149
- Practice address
- 2200 Sutherland Ave.
Knoxville, TN 37919 - Phone
- (865) 521-6174
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 40149 | TN | Primary |
Addresses
Primary practice location
2200 Sutherland Ave.
Knoxville, TN 37919
Mailing address
2200 Sutherland Ave.
Knoxville, TN 37919
Phone (865) 521-6174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3333936 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Illinois Medical College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333
1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640
1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740
Hospital & facility affiliations
- University Health System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40149 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System, Inc | Current | Accepting new patients | |
| University Health System, Inc | Neurology | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| University Health System, Inc. | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
2200 Sutherland Ave
Knoxville, TN 37919
Phone (865) 521-6174
Interoperability endpoints
- brian.wiseman@direct.utmck.edu
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Neurology Physician
- Knoxville, TN
- NPI 1194008474
-
- Family Medicine Physician
- Clinton, TN
- NPI 1578886610
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1558812198
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1669442547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 SUTHERLAND AVE.",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-521-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SUTHERLAND AVE.",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-521-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "BRIAN",
"middle_name": "FREDERICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "40149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3333936",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.