Individual provider Active NPI

Brandt C. Wible, M.D.

  • Vascular & Interventional Radiology Physician
  • Kansas City, MO
National Provider Identifier
1528158284
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2008015504 Issued in MO
Practice address
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone
(816) 932-2549
Fax
(816) 932-3939
NPI assigned
Oct 13, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2008015504 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Kansas City, MO 64111-3220

Mailing address

901 E 104TH St
Mailstop 400
Kansas City, MO 64131-4517
Phone (816) 599-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080909000621 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002982410 Reassigns benefits to 5 organizations
I20240905002887 KS Practitioner - Diagnostic Radiology 6002982410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Joplin Radiology
Joplin, MO 64804-4524
Phone (417) 556-4762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008015504MOMDVascular & Interventional Radiology Physician
2008015501MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine CurrentSince Aug 1, 2024 Accepting new patients
Saint Luke's Physician Group Inc Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Oct 28, 2024 Accepting new patients
Diamond Interventional Center LLC Vascular & Interventional Radiology CurrentSince Nov 6, 2024 Accepting new patients
Sage Medical Prof LLC CurrentSince Nov 6, 2024 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Aug 1, 2024 Accepting new patients
Saint Luke's Hospital Medical Services LLC Diagnostic Radiology Past Accepting new patients

Locations

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

4321 Washington St
Ste 1400
Kansas City, MO 64111
Phone (816) 257-1976

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

3600 NE Ralph Powell Rd
Ste A
Lees Summit, MO 64064
Phone (816) 647-0555

700 Branch St
Ste 1
Platte City, MO 64079
Phone (816) 858-4600

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 7

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 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1528158284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-599-9499",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-2549",
            "fax_number": "816-932-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIBLE",
        "first_name": "BRANDT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2008015504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.