Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brett Marvin Wiesen

Individual provider Urology Physician · NPI 1538794664

Brett Marvin Wiesen is an Urology in Philadelphia, Pennsylvania. Graduated from University of Colorado School of Medicine, Aurora in 2026. Practices as a sole proprietor. Licensed in Pennsylvania.

Trained at
University of Colorado School of Medicine, Aurora
Licensed in
PA
In the registry since
2020

Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone: (215) 728-6900
Fax: (215) 214-1734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD494110 (PA)

Record details

NPI number1538794664
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2020
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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