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

Brigham Jeffrey Wise, MD

Individual provider Family Medicine Physician · NPI 1790883668

Brigham Jeffrey Wise, MD is a Family Practice in Las Vegas, Nevada. Graduated from Tulane University School of Medicine in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Missouri and Nevada.

Years since qualifying
22
Trained at
Tulane University School of Medicine
Licensed in
MO, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2410 Fire Mesa St Ste 180
Las Vegas, NV 89128-9016
Phone: (702) 992-6888
Fax: (702) 992-6880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12313 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2005026729 (MO)

Record details

NPI number1790883668
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESDecember 20, 2021
Mailing address1295 Sage Green Ct, Henderson, NV 89012-4848

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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