DR BRANDON J WILT DPM LLC
NPI 1063834125
Podiatrist in Everett, PA

Q: What is Dr Brandon J Wilt Dpm LLC's NPI number?

The NPI number for Dr Brandon J Wilt Dpm LLC is 1063834125. It was assigned to this organization in the NPPES registry on January 9, 2014. The provider is doing business as Brandon J Wilt DPM.

Q: What is Dr Brandon J Wilt Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since January 09, 2014

138 MEMORIAL DR, EVERETT, PA 15537(814) 623-6191(814) 623-5519 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr Brandon J Wilt Dpm Llc NPPES

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

DR BRANDON J WILT DPM LLC (NPI 1063834125), doing business as Brandon J Wilt Dpm, is a healthcare organization registered as a podiatrist in Everett, Pennsylvania and active in the NPI registry since January 2014. The organization lists Brandon J Wilt, Owner, as its authorized official.

NPPES Registry Identity

NPI1063834125

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameDR BRANDON J WILT DPM LLC

Location Address138 MEMORIAL DREverett, PA 15537-7028

Mailing Address138 Memorial DrEverett, PA 15537-7028 · (814) 623-6191 · Fax (814) 623-5519

Phone(814) 623-6191

Fax(814) 623-5519

Organization SubpartNo

Authorized OfficialBrandon J WiltOwner · (814) 623-6191

Enumeration DateJanuary 9, 2014

Last NPPES UpdateApril 8, 2025

NPPES CertifiedApril 8, 2025

✔ NPI 1063834125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in PA · SC006021

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

138 MEMORIAL DR, Everett, PA 15537

Open in Google Maps ↗

Other Names 1

Doing Business AsBrandon J Wilt Dpm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Brandon J Wilt Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dr Brandon J Wilt DPM LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Brian Dowling, D.P.M.

Podiatry

NPI 1316908221

138 MEMORIAL DR
Everett, PA 15537

(814) 623-6191

✔ PECOS✔ Accepts MedicareSame address

Brandon Wilt

Podiatry

NPI 1811146541

138 MEMORIAL DR
Everett, PA 15537

(814) 623-6191

✔ PECOS✔ Accepts MedicareSame address

Christopher Kardohely, DPM

Podiatry

NPI 1750366373

NAVAL HOSPITAL BEAUFORT 1 PICKNEY BLVD.
Beaufort, SC 29902

(843) 228-5600

✔ PECOS✔ Accepts Medicare541 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Brandon J Wilt Dpm LLC's NPI number?

The NPI number for Dr Brandon J Wilt Dpm LLC is 1063834125. It was assigned to this organization in the NPPES registry on January 9, 2014. The provider is doing business as Brandon J Wilt DPM.

Where is Dr Brandon J Wilt Dpm LLC located?

Dr Brandon J Wilt Dpm LLC is located at 138 Memorial Dr, Everett, PA 15537. The listed phone number is (814) 623-6191.

What is Dr Brandon J Wilt Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dr Brandon J Wilt Dpm LLC enrolled in Medicare?

Yes. Dr Brandon J Wilt Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Brandon J Wilt Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Dr Brandon J Wilt Dpm LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Brandon J Wilt Dpm LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.