BRETT W WIESLEY MD
NPI 1689615882
Emergency Medicine in Salt Lake City, UT
About Brett W Wiesley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRETT W WIESLEY MD (NPI 1689615882) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (6108579-2105) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brett W Wiesley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brett Wiesley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILLCREEK, UT 84124
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 Brett Wiesley's NPI number?
The NPI number for Brett Wiesley is 1689615882. It was assigned to this individual provider in the NPPES registry on June 9, 2006.
Where is Brett Wiesley located?
Brett Wiesley practices at 1200 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 268-7975.
What is Brett Wiesley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brett Wiesley enrolled in Medicare?
Yes. Brett Wiesley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brett Wiesley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brett Wiesley reassigns Medicare benefits to Emergency Physicians Integrated Care, LLC (Salt Lake City, UT). The 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 Brett Wiesley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brett Wiesley was last updated on July 9, 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.
# Brett W Wiesley, MD · NPI 1689615882
Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1689615882 (Entity type: Individual)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 6108579-2105 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 E 3900 S, Salt Lake City, UT 84124-1300
- **Phone:** (801) 268-7975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 870306646002 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1689615882) · Data from the CMS NPPES public registry.