Active NPI
Brandon Michael Wubben, MD
- Emergency Medicine Physician
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2025029102
- Practice address
- 2 Progress Point Pkwy
Dept Emergency Med
O Fallon, MO 63368-2205 - Phone
- (314) 362-9123
- Fax
- (314) 747-9160
- NPI assigned
- May 25, 2018
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2025029102 | MO | Primary |
Addresses
Primary practice location
2 Progress Point Pkwy
Dept Emergency Med
O Fallon, MO 63368-2205
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-9123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200118016 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Progress Point Pkwy
O Fallon, MO 63368-2205
Phone (314) 362-9123
Hospital & facility affiliations
- Progress West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Washington University Community Specialists, LLC | Current | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1225 Graham Rd
#U
Florissant, MO 63031
2 Progress Point Pkwy
#U
O Fallon, MO 63368
2 Progress Point Pkwy
O Fallon, MO 63368
Phone (636) 344-1000
660 S Euclid Ave
Saint Louis, MO 63110
10 Hospital Dr
#U
Saint Peters, MO 63376
Interoperability endpoints
- bwubben80449@uihcdirect.org
Organizations & group practices 2
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.
-
- Emergency Care Clinic/Center
- Saint Louis, MO
- NPI 1922812254
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- O Fallon, MO
- NPI 1508938044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1205327111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-362-9123",
"fax_number": "314-747-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PROGRESS POINT PKWY",
"address_2": "DEPT EMERGENCY MED",
"city": "O FALLON",
"state": "MO",
"postal_code": "633682205",
"telephone_number": "314-362-9123",
"fax_number": "314-747-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUBBEN",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-25",
"last_updated": "2025-09-09",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2025029102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200118016",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "2 Progress Point Pkwy",
"address_2": "Dept Emergency Med",
"city": "O Fallon",
"state": "MO",
"country_code": "US",
"postal_code": "633682205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.