MR. BRYAN D WILDMAN MA
NPI 1366088502
Counselor - Addiction (Substance Use Disorder) in Sparks, NV

Active since November 22, 2019
1755 SULLIVAN LN, SPARKS, NV 89431(775) 499-5534(775) 544-4259 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Bryan D Wildman Ma NPPES

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

MR. BRYAN D WILDMAN MA (NPI 1366088502) is an individual addiction (substance use disorder) provider in Sparks, Nevada and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1366088502
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRYAN D WILDMANCredential: MA
Location Address1755 SULLIVAN LNSparks, NV 89431-2815
Mailing Address1755 Sullivan LnSparks, NV 89431-2815 · (775) 499-5534 · Fax (775) 544-4259
Fax(775) 544-4259
Sole ProprietorNo
Enumeration DateNovember 22, 2019
NPI 1366088502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1755 SULLIVAN LN, Sparks, NV 89431

Other Names 1

Former Name (1)Mr. Prudence C Wildman Ma

Other Identifiers 1

Medicaid1205389129NV

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Peer Specialist
1755 SULLIVAN LN
SPARKS, NV 89431
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Licensed Practical Nurse
1755 SULLIVAN LN
SPARKS, NV 89431
Counselor (Addiction (Substance Use Disorder))
1755 SULLIVAN LN
SPARKS, NV 89431
Counselor (Mental Health)
1755 SULLIVAN LN
SPARKS, NV 89431

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 Bryan Wildman's NPI number?

The NPI number for Bryan Wildman is 1366088502. It was assigned to this individual provider in the NPPES registry on November 22, 2019. The provider is also known as Mr. Prudence C Wildman Ma.

Where is Bryan Wildman located?

Bryan Wildman practices at 1755 Sullivan Ln, Sparks, NV 89431. The listed phone number is (775) 499-5534.

What is Bryan Wildman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Bryan Wildman accept?

Health plans from Providence Health Plan list Bryan Wildman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Wildman was last updated on November 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.