DESMONDA BRADY WIXSON (MD) – Internal Medicine Physician, NPI 1013947522

DESMONDA BRADY WIXSON (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301072883 (MI). The NPI Number for DESMONDA BRADY WIXSON (MD) is 1013947522

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DESMONDA BRADY WIXSON (MD)
NPI
1013947522
Phone
(269) 488-8672
Address
4613 W MAIN ST STE A
Enumeration Date
3 July 2006
Last Update Date
7 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
6204884539
Group Practice PAC ID
9032013198
Professional Enrollment ID
I20050104000399
Address ID
MI499389622IRN1056LANE300

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DESMONDA BRADY WIXSON (MD)

  • 4613 W MAIN ST STE A

    KALAMAZOO, MI 490062698

    Phone: (269) 488-8672

    Fax: (269) 488-8673

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: ABBVIE INC. ($68).

Total Amount

$96

General + Research + Ownership

Payments

4

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050104000399IInternal MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5336$0
99215Established patient office or other outpatient visit, 40-54 minutes4226$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 49006)

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Provider's Procedures

DESMONDA BRADY WIXSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI81002Urinalysis, manual test7651

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032013198View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
-MI
O B S T E T R I C S/ G Y N E C O L O G YWI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Nurse Midwife (Cnm)MI
U R O L O G YCO
Neurology, Internal MedicineMI
Nurse PractitionerMI
-MI
-MI

Reviews

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Frequently asked questions

Is there an official ID for DESMONDA BRADY WIXSON (MD) in U.S. healthcare records?
The official identifier for DESMONDA BRADY WIXSON (MD) is NPI 1013947522.
Active or inactive — what applies to DESMONDA BRADY WIXSON (MD)?
You should see DESMONDA BRADY WIXSON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DESMONDA BRADY WIXSON (MD)?
At a glance, DESMONDA BRADY WIXSON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DESMONDA BRADY WIXSON (MD)?
Directory geography for DESMONDA BRADY WIXSON (MD) centers on Kalamazoo, Michigan.
Can I trust this NPI listing for DESMONDA BRADY WIXSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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