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BRIGHAM JEFFREY WISE MD
NPI 1790883668
Family Medicine in Las Vegas, NV

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
2410 FIRE MESA ST, SUITE 180, LAS VEGAS, NV 89128(702) 992-6888(702) 992-6880 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brigham Jeffrey Wise Md NPPES

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

BRIGHAM JEFFREY WISE MD (NPI 1790883668) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (12313) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2004).

NPPES Registry Identity

NPI1790883668
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIGHAM JEFFREY WISECredential: MD
Location Address2410 FIRE MESA ST, SUITE 180Las Vegas, NV 89128-9016
Mailing Address1295 Sage Green CtHenderson, NV 89012-4848 · (702) 992-6888 · Fax (702) 992-6880
Phone(702) 992-6888
Fax(702) 992-6880
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2004
Enumeration DateSeptember 21, 2006
Last NPPES UpdateDecember 20, 2021
✔ NPI 1790883668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NV · 12313✔ Licensed in MO · 2005026729
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2410 FIRE MESA ST, Las Vegas, NV 89128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brigham Jeffrey Wise Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456443324
PECOS Enrollment IDI20090428000467
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 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
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 20

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

PHYLLIS A SUITER A.P.N.
Nurse Practitioner (Family)
2410 FIRE MESA ST, #180, FAMILY PRACTICE CENTER
LAS VEGAS, NV 89128
Clark County (702) 992-6888
DR. MANUEL B GABATO MD
Internal Medicine
2410 FIRE MESA ST, 2410 FIRE MESA
LAS VEGAS, NV 89128
Clark County (702) 636-6320
EILEEN VIRGINIA REDMOND LCSW
Social Worker (Clinical)
2410 FIRE MESA ST
LAS VEGAS, NV 89128
Clark County (702) 636-3000
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO.
Family Medicine
2410 FIRE MESA ST, STE 180
LAS VEGAS, NV 89128
Clark County (702) 992-6888
ANTHONY V BORGIA DPM PLLC
Podiatrist (Foot & Ankle Surgery)
2410 FIRE MESA ST, STE 160
LAS VEGAS, NV 89128
Clark County (702) 947-2005
DR. EVELYN PADRE PADRE MD
Family Medicine
2410 FIRE MESA ST
LAS VEGAS, NV 89128
Clark County (702) 636-6320
BETTY OMANDAC
Nurse Practitioner (Gerontology)
2410 FIRE MESA ST, SUITE 160
LAS VEGAS, NV 89128
Clark County (702) 518-1534
PORSCHE LASHAI PACE RD
Dietitian, Registered
2410 FIRE MESA ST, SUITE 130
LAS VEGAS, NV 89128
Clark County (702) 636-3000

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 Brigham Wise's NPI number?

The NPI number for Brigham Wise is 1790883668. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Brigham Wise located?

Brigham Wise practices at 2410 Fire Mesa St Suite 180, Las Vegas, NV 89128. The listed phone number is (702) 992-6888.

What is Brigham Wise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brigham Wise enrolled in Medicare?

Yes. Brigham Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brigham Wise was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.