Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BRANDON WIBERG DO
NPI 1275160426
Radiology - Diagnostic Radiology in Roseville, MN

Q: What is Brandon Wiberg's NPI number?

The NPI number for Brandon Wiberg is 1275160426. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Brandon Wiberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Wiberg was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, Jun 26, 2025, May 8, 2025 and 1 more (4 updates tracked since 2020).

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About Brandon Wiberg Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON WIBERG DO (NPI 1275160426) is an individual diagnostic radiology provider in Roseville, Minnesota, licensed in Minnesota (81925) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2020).

NPPES Registry Identity

NPI1275160426

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameBRANDON WIBERGCredential: DO

Location Address2355 HWY 36 W, STE. 100Roseville, MN 55113

Mailing Address2355 Hwy 36 W, Ste. 100Roseville, MN 55113 · (651) 292-2000

Phone(651) 292-2000

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1275160426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MN · 81925✔ Licensed in WI · 82182-21✔ Licensed in IN · 02008369A✔ Licensed in ND · 24009

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2355 HWY 36 W, Roseville, MN 55113

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Wiberg Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466970116

PECOS Enrollment IDI20250515003379

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151306

Location642 W Hospital RdPaoli, IN 47454 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RYAN BLAIR O'MALLEY