P Praxis·MD
● Active Type 1 · Individual

DR. Jesse M Wickham, D.O.

Internal Medicine·Jbsa Ft Sam Houston, TX· NPI 1376602060 · Enumerated 2006 · 19 years on NPI
Wickham is 1 of 4 internal medicine providers in Jbsa Ft Sam Houston and 1 of 1582 in Texas.
NPI age
19 years
Enumerated 2006-12-08
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
MS, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1582 active internal medicine providers in Texas.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 86% — 14% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
📞 2109167408fax 2109163585
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
📞 2109167408fax 2109163585

Additional practice locations

1 secondary location on file with NPPES.

Location 2
301 Fisher St, Keesler Medical Center, 81mdos/sgomk, Nephrology
Keesler Afb, MS 395342508
📞 2283765537

Specialties

  • Internal Medicine Primary
    An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
    MS license #23573IN license #02003331A taxonomy 207RN0300X

Practice context

Part of a multi-provider practice. 623 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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