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

Dr. Jesse M Wickham, DO

Individual provider Nephrology Physician · NPI 1376602060

Dr. Jesse M Wickham, DO is a Nephrology Physician in Jbsa Ft Sam Houston, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana and Mississippi.

Licensed in
IN, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-7408
Fax: (210) 916-3585
Show map & directions

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

Additional practice locations (1)

  • 301 Fisher St, Keesler Afb, MS 39534-2508 — (228) 376-5537

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 23573 (MS)
Nephrology Physician Taxonomy 207RN0300X · Licence 02003331A (IN)

Record details

NPI number1376602060
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 8, 2006
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504