Brandon J Wiese, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P8564 Issued in TX

Practice address

900 E Battlefield St Ste 124
Springfield, MO 65807-5208

Phone

(417) 986-1289

NPI assigned

Jun 17, 2011

Last updated

Mar 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Family Practice

Education

Kansas City College of Medicine and Surgery, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Southern Missouri Ambulatory Services LLCGroup PAC ID 5193089621, 32 clinicians

Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Lester E Cox Medical Centers

  dba Coxhealth Center Chesterfield

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1427123140
  Medicare reassignment Care Compare group NPD
• Mercy Southern Missouri Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1871094052
  Medicare reassignment Care Compare group NPD
• Lester E Cox Medical Centers

  dba CoxHealth Advantage Care Clinic

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1356068605

  Family Medicine

  NPD
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1720373673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 W Republic Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076056",
            "country_code": "US",
            "telephone_number": "417-956-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 S Kansas Expy Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076989",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESE",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8564",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019006634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Whybark, PHARMD
• Edrie Wichern, NP
• Paul Wickersham, M.S., L.P.C.
• Megan L. Widger, AU.D
• Jessica Wiegold
• Courtney Gray Wiese, M.D.
• Stanley D. Wiggins, MD
• Kenneth Wiggs, MA
• Heather Wike, NP
• Christopher R Wilbers, MD

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.

Verify at the official NPI Registry.