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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Wilder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Anesthesiology Consultants, PLLC
0.5 mi
Anesthesiology
927 EAST BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, South Carolina enrollment
  • 26 clinicians in this Medicare group
NPI 1538124201 (704) 377-5772

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.

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
BROOKE STEPHANIK
Pharmacist (Pediatrics)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000

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 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.

Where is Brian Wilder located?

Brian Wilder practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-2372.

What is Brian Wilder's specialty?

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

Is Brian Wilder enrolled in Medicare?

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

Which organization bills Medicare for Brian Wilder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wilder reassigns Medicare benefits to Southeast Anesthesiology Consultants, PLLC (Charlotte, NC). 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 Brian Wilder'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 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 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.