BRADLEY R WILLBORN BS, MSE
NPI 1053571646
Social Worker - Clinical in Darlington, WI
About Bradley R Willborn Bs, Mse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY R WILLBORN BS, MSE (NPI 1053571646) is an individual clinical provider in Darlington, Wisconsin and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley R Willborn Bs, Mse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bradley Willborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Platteville, WI 53818
- Reassigned Medicare billing, Wisconsin enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Willborn's NPI number?
The NPI number for Bradley Willborn is 1053571646. It was assigned to this individual provider in the NPPES registry on June 17, 2008.
Where is Bradley Willborn located?
Bradley Willborn practices at 627 Main St, Darlington, WI 53530. The listed phone number is (608) 776-4800.
What is Bradley Willborn's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Bradley Willborn enrolled in Medicare?
Yes. Bradley Willborn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bradley Willborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Willborn reassigns Medicare benefits to Msm Counseling Services (Platteville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Willborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Willborn accept?
Health plans from Dean Health Plan, Group Health Cooperative-SCW, Quartz and UnitedHealthcare list Bradley Willborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bradley Willborn was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bradley R Willborn, BS, MSE · NPI 1053571646
Clinical provider in Darlington, Wisconsin. Individual provider, active in the CMS NPPES registry since June 17, 2008.
## Identity
- **NPI:** 1053571646 (Entity type: Individual)
- **Enumerated:** June 17, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 627 MAIN ST, Darlington, WI 53530-1395
- **Phone:** (608) 776-4800 · **Fax:** (608) 776-4914
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Msm Counseling Services (NPI 1679243471, Platteville, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 17, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1053571646) · Data from the CMS NPPES public registry.