Active NPI
Brian Mathew Wildey, MD
- Obstetrics & Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D91020
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0037
- Fax
- (410) 550-0196
- NPI assigned
- Aug 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 10721 | ND | |
| Obstetrics & Gynecology Physician | 207V00000X | D91020 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201
Phone (701) 795-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New Mexico School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10755 Falls Rd
Lutherville, MD 21093-4515
Phone (443) 997-0400
1132 Annapolis Rd
Odenton, MD 21113-1647
Phone (410) 874-1425
1132 Annapolis Rd
Suite 100
Odenton, MD 21113-1672
Phone (410) 874-1400
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5525 Eastern Ave
Suite 301
Baltimore, MD 21224-2796
Phone (410) 558-4804
5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544
5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738
Hospital & facility affiliations
- Johns Hopkins Bayview Medical Center
- Johns Hopkins Hospital, the
- Johns Hopkins Howard County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D91020 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Obstetrics & Gynecology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients | |
| Johns Hopkins Bayview Medical Center Inc | Past | Accepting new patients |
Locations
4940 Eastern Ave
Baltimore, MD 21224
600 N Wolfe St
Baltimore, MD 21287
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
Interoperability endpoints
- bwildey846219@direct.hopkinsmedicine.org
- brian.wildey.p1@direct.bmsi.nextgenshare.com
Organizations & group practices 6
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1164138152
-
- Obstetrics & Gynecology Physician
- Lutherville, MD
- NPI 1255315339
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1578754388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0037",
"fax_number": "410-550-0196"
}
],
"practiceLocations": [
{
"address_1": "1380 S Columbia Rd - Altru Family Medicine Center",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "58201",
"country_code": "US",
"telephone_number": "701-795-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDEY",
"first_name": "BRIAN",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ND",
"license": "10721",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D91020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.