DR. BRIAN JOHN WILDER MD
NPI 1831187392
Anesthesiology - Pain Medicine in Charlotte, NC

Q: What is Brian Wilder's NPI number?

The NPI number for Brian Wilder is 1831187392. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Brian Wilder's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Brian Wilder was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 10, 2005PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2372(704) 355-6692 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Brian John Wilder Md NPPES

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

DR. BRIAN JOHN WILDER MD (NPI 1831187392) is an individual pain medicine provider in Charlotte, North Carolina, licensed in North Carolina (32068) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831187392

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameDR. BRIAN JOHN WILDERCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing AddressPo Box 36351, Southeast Anesthesiology Consultants PaCharlotte, NC 28236-6351 · (704) 377-5772 · Fax (704) 377-3389

Phone(704) 355-2372

Fax(704) 355-6692

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateOctober 22, 2007

✔ NPI 1831187392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in NC · 32068

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 32068 (NC)

1000 BLYTHE BLVD, Charlotte, NC 28203

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Other Identifiers 4

Medicare UPIND17494

Medicaid8987398NC

Medicare PIN2142205ANC

OtherTL5107SC · Medicaid

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian John Wilder 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.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)