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BRIAN WICKERS
NPI 1225416936
Surgery in Jacksonville, FL

Active since May 13, 2015PECOS Enrolled
14540 OLD SAINT AUGUSTINE RD STE 2571, JACKSONVILLE, FL 32258(904) 886-2251(904) 886-7151 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Wickers NPPES

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

BRIAN WICKERS (NPI 1225416936) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME180656) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of St. Louis College Of Physicians And Surgeons (2015).

NPPES Registry Identity

NPI1225416936
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRIAN WICKERS
Location Address14540 OLD SAINT AUGUSTINE RD STE 2571Jacksonville, FL 32258-7420
Mailing Address14540 Old Saint Augustine Rd Ste 2571Jacksonville, FL 32258-7420 · (904) 886-2251 · Fax (904) 886-7151
Phone(904) 886-2251
Fax(904) 886-7151
Sole ProprietorYes
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2015
Enumeration DateMay 13, 2015
Last NPPES UpdateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1225416936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME180656
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
14540 OLD SAINT AUGUSTINE RD STE 2571, Jacksonville, FL 32258
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Wickers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072826320
PECOS Enrollment IDI20260513003546
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 5

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

DIANA HAWKINS PA-C
Physician Assistant (Surgical)
14540 OLD SAINT AUGUSTINE RD STE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
MATTHEW THOMAS SMITH DO
Surgery
14540 OLD SAINT AUGUSTINE RD STE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
DR. ROBERT M MOORE MD
Surgery
14540 OLD SAINT AUGUSTINE RD STE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
SARAH GABEL PA-C
Physician Assistant
14540 OLD SAINT AUGUSTINE RD STE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
STEPHEN EDWARD WINIKOFF M.D.
Surgery
14540 OLD SAINT AUGUSTINE RD STE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251

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 Brian Wickers's NPI number?

The NPI number for Brian Wickers is 1225416936. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Brian Wickers located?

Brian Wickers practices at 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258. The listed phone number is (904) 886-2251.

What is Brian Wickers's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brian Wickers enrolled in Medicare?

Yes. Brian Wickers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Wickers was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.