DR. JAMES BRADLEY WISNER D.M.D.
NPI 1669583647
Dentist - General Practice in Charleston, SC

Active since August 31, 2006Opted out of Medicare · through Mar 8, 2028
52 COURTENAY DR, CHARLESTON, SC 29403(843) 722-1676 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Bradley Wisner D.m.d. NPPES

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

DR. JAMES BRADLEY WISNER D.M.D. (NPI 1669583647) is an individual general practice provider in Charleston, South Carolina, licensed in South Carolina (3916) and active in the NPI registry since August 2006. He has opted out of Medicare through March 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669583647
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES BRADLEY WISNERCredential: D.M.D.
Location Address52 COURTENAY DRCharleston, SC 29403-5707
Mailing Address52 Courtenay DrCharleston, SC 29403-5707 · (843) 722-1676
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1669583647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 3916
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
52 COURTENAY DR, Charleston, SC 29403

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. James Bradley Wisner D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2016 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2016
Opt-Out In Effect ThroughMarch 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29403 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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

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

Dentist (General Practice)
52 COURTENAY DR
CHARLESTON, SC 29403

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 James Wisner's NPI number?

The NPI number for James Wisner is 1669583647. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Wisner located?

James Wisner practices at 52 Courtenay Dr, Charleston, SC 29403. The listed phone number is (843) 722-1676.

What is James Wisner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Wisner enrolled in Medicare?

No. James Wisner has opted out of Medicare through March 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Wisner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list James Wisner 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 James Wisner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.