DESMONDA BRADY WIXSON MD
NPI 1013947522
Internal Medicine in Kalamazoo, MI

Q: What is Desmonda Wixson's NPI number?

The NPI number for Desmonda Wixson is 1013947522. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Desmonda L. Brady MD.

Q: What is Desmonda Wixson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Desmonda Wixson was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

4613 W MAIN ST STE A, KALAMAZOO, MI 49006(269) 488-8672(269) 488-8673 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2022, Jan 24, 2020 (2 updates tracked since 2020).

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About Desmonda Brady Wixson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESMONDA BRADY WIXSON MD (NPI 1013947522) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301072883) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1998).

NPPES Registry Identity

NPI1013947522

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDESMONDA BRADY WIXSONCredential: MD

Location Address4613 W MAIN ST STE AKalamazoo, MI 49006-2698

Mailing Address4613 W Main St Ste AKalamazoo, MI 49006-2698 · (269) 488-8672 · Fax (269) 488-8673

Phone(269) 488-8672

Fax(269) 488-8673

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1998

Enumeration DateJuly 3, 2006

Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2022

✔ NPI 1013947522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301072883

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301072883 (MI)

4613 W MAIN ST STE A, Kalamazoo, MI 49006

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Other Names 1

Former Name (1)Desmonda L. Brady Md

Other Identifiers 1

Medicaid4605400MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Desmonda Brady Wixson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204884539

PECOS Enrollment IDI20050104000399

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231333

LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA LINNEA REILLY PA-C

Physician Assistant