NPIMap

Individual provider Active NPI

Brady Michael Wahlberg, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Mechanicsburg, PA
National Provider Identifier
1447512157
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS016915 Issued in PA
Practice address
856 Century Dr
Mechanicsburg, PA 17055-4505
Phone
(717) 730-7099
Fax
(717) 741-9867
NPI assigned
Jun 10, 2012
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS016915 PA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS016915 PA
Interventional Pain Medicine Physician 208VP0014X OS016915 PA

Addresses

Primary practice location

856 Century Dr
Mechanicsburg, PA 17055-4505

Mailing address

1861 Powder Mill Rd
Attn: Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2000

Other practice location 1

1855 Powder Mill Rd
York, PA 17402-4723
Phone (717) 848-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwahlberg@osshealth.medentdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607000526 PA Practitioner - Physical Medicine and Rehabilitation 4587948609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, 125 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

856 Century Dr
Mechanicsburg, PA 17055-4505
Phone 71784848006867

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
99.23
Promoting interoperability
100
Improvement activities
40
Cost
86.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016915PAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oss Orthopaedic Hospital, LLC Interventional Pain Medicine Current Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Jul 1, 2017 Accepting new patients
Oss Orthopaedic Hospital, LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2017 Accepting new patients

Locations

1926 Good Hope Rd
Enola, PA 17025

856 Century Dr
Mechanicsburg, PA 17055
Phone (717) 697-3304

1665 Roosevelt Ave
York, PA 17408
Phone (717) 747-8350

1855 Powder Mill Rd
York, PA 17402

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1861 Powder Mill Rd
Ofc
York, PA 17402
Phone (717) 718-2000

Interoperability endpoints

  • Direct secure messaging: bwahlberg@osshealth.medentdirect.com

Organizations & group practices 3

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1447512157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL RD",
            "address_2": "ATTN: MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2000",
            "fax_number": "717-718-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554505",
            "telephone_number": "717-730-7099",
            "fax_number": "717-741-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-9867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHLBERG",
        "first_name": "BRADY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS016915",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "OS016915",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS016915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwahlberg@osshealth.medentdirect.com",
            "affiliation": "N",
            "address_1": "856 Century Dr",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170554505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.