DR. CLARK WESLEY BRAZIL MD NPI 1073595708

NPI Information

  • NPI: 1073595708
  • Provider Name: DR. CLARK WESLEY BRAZIL, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1508 10TH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Phone: (940) 322-6671

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NPI Details

DR. Clark Wesley Brazil, MD is a vascular surgery surgery in Wichita Falls, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Clark Wesley Brazil, MD NPI is 1073595708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1508 10TH ST
WICHITA FALLS, TX
ZIP 76301-401
Phone: (940) 322-6671
Fax: (940) 322-6676

The NPI 1073595708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)

The enumeration date for this NPI number is 11/17/2005 and was last updated on 4/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryE1512TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B21478MEDICARE UPINTEXAS
200FT11MEDICARE ID-TYPE UNSPECIFIEDTEXAS
31281834-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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