BRENT WILDBERGER PA-C
NPI 1740654631
Physician Assistant - Surgical in Mobile, AL

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1855 SPRING HILL AVE, MOBILE, AL 36607(251) 471-3544 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2021, Nov 20, 2019, Feb 22, 2016 and 2 more (5 updates tracked since 2015).

About Brent Wildberger Pa-c NPPES

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

BRENT WILDBERGER PA-C (NPI 1740654631) is an individual surgical provider in Mobile, Alabama and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pascagoula, and is a graduate of University Of South Alabama College Of Medicine (2015).

NPPES Registry Identity

NPI1740654631
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRENT WILDBERGERCredential: PA-C
Location Address1855 SPRING HILL AVEMobile, AL 36607-2301
Mailing Address1855 Spring Hill AveMobile, AL 36607-2301 · (251) 471-3544
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2015
Enumeration DateNovember 16, 2015
Last NPPES UpdateMay 5, 20215 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1740654631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1855 SPRING HILL AVE, Mobile, AL 36607

Secondary Practice Location 1

Location 14300 Hospital St Ste 12Pascagoula, MS 39581-5306 · Phone (251) 471-3544

Accepted 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

Brent Wildberger Pa-c 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 ID2264730316
PECOS Enrollment IDI20160406001191
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1855 SPRING HILL AVE
MOBILE, AL 36607
Nurse Practitioner (Family)
1855 SPRING HILL AVE
MOBILE, AL 36607
Surgery (Vascular Surgery)
1855 SPRING HILL AVE
MOBILE, AL 36607
Surgery (Vascular Surgery)
1855 SPRING HILL AVE
MOBILE, AL 36607
Surgery (Vascular Surgery)
1855 SPRING HILL AVE
MOBILE, AL 36607
Nurse Practitioner (Acute Care)
1855 SPRING HILL AVE
MOBILE, AL 36607
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1855 SPRING HILL AVE
MOBILE, AL 36607
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1855 SPRING HILL AVE
MOBILE, AL 36607

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 Brent Wildberger's NPI number?

The NPI number for Brent Wildberger is 1740654631. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Brent Wildberger located?

Brent Wildberger practices at 1855 Spring Hill Ave, Mobile, AL 36607. The listed phone number is (251) 471-3544.

What is Brent Wildberger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brent Wildberger enrolled in Medicare?

Yes. Brent Wildberger 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 Brent Wildberger accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Brent Wildberger 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 Brent Wildberger was last updated on May 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.