BRIAN PATRICK WISEMAN MD
NPI 1497319537
Urology - Pediatric Urology in Salt Lake City, UT
NPI Status: Active since April 24, 2019
Contact Information
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121
- Individual
- Male
- Urology
- Pediatric Urology
- Accepts Insurance
- PECOS Enrolled
About BRIAN WISEMAN
This page provides the complete NPI Profile along with additional information for Brian Wiseman, a provider established in Salt Lake City, Utah with a medical specialization in Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1497319537 assigned on April 2019. The practitioner's primary taxonomy code is 2088P0231X with license number 13908858-1205 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1497319537
- Provider Name
- BRIAN PATRICK WISEMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112
- Location Phone
- (801) 581-2121
- Mailing Address
- 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112
- Mailing Phone
- (801) 581-2121
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-24-2019
- Last Update Date
- 04-09-2024
- Code Navigator
Location Map
Secondary Locations
- 1600 SW Archer Rd Rm N-203
Gainesville, FL 32610
(352) 273-8634
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13908858-1205
- License State
- UT
- Taxonomy Description
- Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- SaveWell Standard Bronze 7500 - EPO
- SaveWell Standard Gold 1500 - EPO
- SaveWell Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Silver 6200 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Brian Wiseman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for BRIAN PATRICK WISEMAN MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 3 | 1 | 9 | 5 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 6 | 1 | 18 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 6 + 1 + 1 + 8 + 5 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1497319537 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023768686 | MARISOL Z. MONZON MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1093448607 | EVAN A. CROCKETT MD Individual | Urology | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1396493912 | DEVON M. LANGSTON MD Individual | Urology | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1427622380 | WILLIAM C. STARR MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1548910110 | JESSICA K. HALL MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1912655739 | LINDSEY N. WRIGHT MD Individual | Urology | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1356090658 | AMIR TEIMOURI DERESHGI MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1285169227 | AVITAL NAOMI YOHANN MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1801455209 | JESSICA S MAGARINOS MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1013476258 | ALEXANDER SCHURMAN Individual | Surgery (Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1831621655 | RACHAEL ESSIG MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1518545029 | ANASTASIA KAHAN MD Individual | Surgery (Pediatric Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1497242234 | TESSA LAMBERTON MD Individual | Surgery (Surgical Critical Care) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1861996241 | KAREEM M. IBRAHEEM MBBCH Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1053015370 | DR. NEEL D. BHAGAT MD Individual | Plastic Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1972206985 | TAYLOR R. BEAVER MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1073216768 | KENNEDY E JENSEN MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1073256913 | PHOEBE L. LEE MD Individual | Plastic Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1659074557 | MICHAL SCHAFER MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1154024974 | MARSHALL W. WALLACE MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497319537, enumerated in the NPI registry as an "individual" on April 24, 2019
The provider is located at 30 N Mario Capecchi Dr Rm 4s100 Salt Lake City, Ut 84112 and the phone number is (801) 581-2121
The provider's speciality is Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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