BRIAN W WISTOW M.D. NPI 1437109709

NPI Information

  • NPI: 1437109709
  • Provider Name: BRIAN W WISTOW, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 COFFEE RD
    MODESTO, CA
    ZIP 95355
  • Phone: (209) 524-1211

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NPI Details

Brian W Wistow, M.D. is a diagnostic radiology radiology in Modesto, CA with 54 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Brian W Wistow, M.D. NPI is 1437109709. 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:

600 COFFEE RD
MODESTO, CA
ZIP 95355-201
Phone: (209) 524-1211

The NPI 1437109709 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, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of joint between lower spine and hip bone, 3 or more views (HCPCS:72202)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • X-ray of collar bone (HCPCS:73000)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of both hips, minimum of 5 views (HCPCS:73523)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of both hips, 2 views (HCPCS:73521)

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/1/2011.

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
12085B0100XRadiologyBody ImagingA33568CALIFORNIANo
22085U0001XRadiologyDiagnostic UltrasoundA33568CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyA33568CALIFORNIAYes

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
1AU473ZMEDICARE PINCALIFORNIA
200A335680MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE NUMBER
3A27187MEDICARE UPINCALIFORNIA
400A335680MEDICAIDCALIFORNIA

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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