Bradley William Wise

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR.0063626 Issued in CO

Practice address

4545 E 9TH Ave Ste 120
Denver, CO 80220-3902

Phone

(303) 388-2922

Fax

(303) 388-2962

NPI assigned

Apr 13, 2018

Last updated

Sep 13, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

General Surgery

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthone Clinic Services - Bariatric Medicine LLCGroup PAC ID 2163564006, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Healthone Rose Hospital, Denver, CO, CCN 060032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.wise@hca3.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthone Clinic Services - Bariatric Medicine LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Denver, CO
  • NPI 1174856637
  Medicare reassignment Care Compare group NPD
• HCA Healthone LLC

  dba HCA HealthONE Rose Hospital

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  dba HCA HealthONE Rose Hospital

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  Care Compare affiliation

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679060818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203902",
            "telephone_number": "303-388-2922",
            "fax_number": "303-388-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203902",
            "telephone_number": "303-388-2922",
            "fax_number": "303-388-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0063626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin I.V. Affiliates, LLC
• Wisconsin Kidney Care, S.C.
• Victoria Wisdom-Imbach, PHD M, NCC, LPN, LPC
• Natalie Wisdom
• Amy Rene Wise, RN
• David Dale Wise, PT
• Jason Wise, PHARMD
• Karen Ilene Wise, MS, LPC
• Kimberly Kathleen Wise, MA, LPC, NCC
• Lindsey Anne Wise, MA, LPC

• Surgery Physician in Denver, CO
• Providers in Denver, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.