Active NPI
Brett E Willden, D.O.
- Family Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040206000836 | AZ | Practitioner - Family 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Omg Arizona, LLC | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | 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
- 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.
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- Internal Medicine Physician
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- NPI 1710386545
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- Cardiovascular Disease Physician
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- Emergency Medicine Physician
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- NPI 1144624339
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- Internal Medicine Physician
- Mesa, AZ
- NPI 1700235751
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- Internal Medicine Physician
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- NPI 1760867428
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1356547798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.