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BRIAN PATRICK WISEMAN MD
NPI 1497319537
Urology - Pediatric Urology in Salt Lake City, UT

Active since April 24, 2019PECOS Enrolled
30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2024, Apr 24, 2019 (2 updates tracked since 2019).

About Brian Patrick Wiseman Md NPPES

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

BRIAN PATRICK WISEMAN MD (NPI 1497319537) is an individual pediatric urology provider in Salt Lake City, Utah, licensed in Utah (13908858-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1497319537
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameBRIAN PATRICK WISEMANCredential: MD
Location Address30 N MARIO CAPECCHI DR RM 4S100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr Rm 4s100Salt Lake City, UT 84112 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorYes
Enumeration DateApril 24, 2019
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1497319537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in UT · 13908858-1205
Definition
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).
30 N MARIO CAPECCHI DR RM 4S100, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 11600 SW Archer Rd Rm N-203Gainesville, FL 32610-0247 · Phone (352) 273-8634

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Wiseman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
0.1 mi
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336
University Of Utah Pediatric Services
0.1 mi
Pediatrics
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1568826055 (801) 587-6336

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

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.

ALEXANDER SCHURMAN
Surgery (Vascular Surgery)
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOCELYN DI NOLFI M.D.
Colon & Rectal Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
MARISOL Z. MONZON MD
Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DR. NEEL D. BHAGAT MD
Plastic Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
ELEANOR FRANCES KITCHELL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
KENNEDY E JENSEN MD
Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
PHOEBE L. LEE MD
Plastic Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
EVAN A. CROCKETT MD
Urology
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Wiseman's NPI number?

The NPI number for Brian Wiseman is 1497319537. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Brian Wiseman located?

Brian Wiseman practices at 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Brian Wiseman's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Brian Wiseman enrolled in Medicare?

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

Which organizations bill Medicare for Brian Wiseman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wiseman reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). Each 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 Brian Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Wiseman accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brian Wiseman 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 Brian Wiseman was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.