Individual provider Active NPI

Brett E Willden, D.O.

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1174515134
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3586 Issued in AZ
Practice address
2196 E Williams Field Rd Ste 116
Gilbert, AZ 85295-0755
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3586 AZ Primary

Addresses

Primary practice location

2196 E Williams Field Rd Ste 116
Gilbert, AZ 85295-0755

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000836 AZ Practitioner - Family PracticePractitioner - General Practice 9830082510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLC 117 clinicians

Practice addresses (Care Compare)

2196 E Williams Field Rd
Suite 116
Gilbert, AZ 85295-0755
Phone (888) 405-6396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Nov 1, 2019 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 26, 2024 Accepting new patients
Omg Arizona, LLC Family Medicine CurrentSince Aug 26, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 26, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Nov 1, 2019 Accepting new patients
Ultimate Urgent Care Centers Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
One Medical Group of Arizona, PC Family Medicine Past Accepting new patients

Locations

3624 W Anthem Way
Ste C116
Anthem, AZ 85086
Phone (480) 705-9920

2196 E Williams Field Rd
Ste 116
Gilbert, AZ 85295
Phone (480) 237-1395

10144 W Lake Pleasant Pkwy
Ste 1110
Peoria, AZ 85382
Phone (623) 434-5748

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1174515134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 E WILLIAMS FIELD RD STE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950755",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLDEN",
        "first_name": "BRETT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.