DR. DAVID ANDREW WISE M.D. NPI 1073631297

NPI Information

  • NPI: 1073631297
  • Provider Name: DR. DAVID ANDREW WISE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 815 PENNSYLVANIA AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 321-0387

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NPI Details

DR. David Andrew Wise, M.D. is a diagnostic radiology radiology in Fort Worth, TX with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. David Andrew Wise, M.D. NPI is 1073631297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0387

The NPI 1073631297 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/15/2012.

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
12085R0202XRadiologyDiagnostic RadiologyL7929TEXASYes

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
1103604804MEDICAIDTEXAS
2H99365MEDICARE UPINTEXAS
3TXB120639MEDICARE PINTEXAS

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: 3/30/2025

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