MR. BRYAN K. WILDE LCSW
NPI 1942430863
Social Worker - Clinical in Taylorsville, UT

Active since July 27, 2009PECOS Enrolled
5770 S 1500 W STE 105, TAYLORSVILLE, UT 84123(801) 313-7770(801) 313-7771 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Bryan K. Wilde Lcsw NPPES

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

MR. BRYAN K. WILDE LCSW (NPI 1942430863) is an individual clinical provider in Taylorsville, Utah, licensed in Utah (365238-3501) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1942430863
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRYAN K. WILDECredential: LCSW
Location Address5770 S 1500 W STE 105Taylorsville, UT 84123-5216
Mailing AddressPo Box 27128, Suite 105Salt Lake City, UT 84127-0128
Fax(801) 313-7771
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 27, 2009
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1942430863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 365238-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5770 S 1500 W STE 105, Taylorsville, UT 84123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bryan K. Wilde Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325530686
PECOS Enrollment IDI20251124002839
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 Bryan Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
9720 S 1300 E, #E230
Sandy, UT 84094
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Bryan Wilde's NPI number?

The NPI number for Bryan Wilde is 1942430863. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Bryan Wilde located?

Bryan Wilde practices at 5770 S 1500 W Ste 105, Taylorsville, UT 84123. The listed phone number is (801) 313-7770.

What is Bryan Wilde's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bryan Wilde enrolled in Medicare?

Yes. Bryan Wilde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Wilde reassigns Medicare benefits to Ihc Health Services Inc (Sandy, 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 Bryan Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Wilde accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Bryan Wilde 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 Bryan Wilde was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.