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DR. BRIAN WIDEMAN DO
NPI 1295364008
Psychiatry & Neurology - Vascular Neurology in Ypsilanti, MI

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
5333 MCAULEY DR, SUITE 109, YPSILANTI, MI 48197(734) 712-1400(616) 267-7901 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Feb 12, 2025, May 19, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Brian Wideman Do NPPES

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

DR. BRIAN WIDEMAN DO (NPI 1295364008) is an individual vascular neurology provider in Ypsilanti, Michigan, licensed in Michigan (5101027876) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1295364008
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. BRIAN WIDEMANCredential: DO
Location Address5333 MCAULEY DR, SUITE 109Ypsilanti, MI 48197
Mailing Address24 Frank Lloyd Wright Drive, Suite J2000Ann Arbor, MI 48105 · (734) 747-6766 · Fax (734) 222-3100
Phone(734) 712-1400
Fax(616) 267-7901
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1295364008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License✔ Licensed in MI · 5101027876
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 5151014375 (MI)
5333 MCAULEY DR, Ypsilanti, MI 48197
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Secondary Practice Location 1

Location 12750 E Beltline Ave NEGrand Rapids, MI 49525-8614 · Phone (616) 267-7104 · Fax (616) 267-7594

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Dr. Brian Wideman 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 ID4789008632
PECOS Enrollment IDI20250604000585
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.

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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.

ARDEN BASLER RN
Registered Nurse (Women's Health Care, Ambulatory)
5333 MCAULEY DR, RHB 2110
YPSILANTI, MI 48197
Washtenaw County (734) 712-3126
MORGAN MURDOCK CNP
Internal Medicine (Addiction Medicine)
5333 MCAULEY DR, SUITE 3111
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VISHAL BHAGAT M.D.
Radiology (Vascular & Interventional Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
ST JOSEPH MERCY HOSPITAL
Internal Medicine
5333 MCAULEY DR, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. GIL S. BORLAZA M.D.
Radiology (Diagnostic Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
MS. MICHELLE SCHNAPER OKUN MS, APRN, BC
Nurse Practitioner (Adult Health)
5333 MCAULEY DR, SUITE 4106
YPSILANTI, MI 48197
Washtenaw County (734) 712-5637
THERON LEROY DOBSON M.D.
Psychiatry & Neurology (Neurology)
5333 MCAULEY DR, STE 6109
YPSILANTI, MI 48197
Washtenaw County (734) 712-1400
ELI PEARSON TIDWELL
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Brian Wideman's NPI number?

The NPI number for Brian Wideman is 1295364008. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Brian Wideman located?

Brian Wideman practices at 5333 Mcauley Dr Suite 109, Ypsilanti, MI 48197. The listed phone number is (734) 712-1400.

What is Brian Wideman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Brian Wideman enrolled in Medicare?

Yes. Brian Wideman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Wideman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brian Wideman 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.

Is Brian Wideman affiliated with any hospitals?

According to CMS data, Brian Wideman is affiliated with St Joe Mercy Hospital System Livonia and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Brian Wideman was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.