DR. BRAD MICHAEL WILLENBRING (D.O.) – Family Medicine Physician, NPI 1124464185

DR. BRAD MICHAEL WILLENBRING (D.O.) is a healthcare provider. based in Ft wainwright, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 05623 (IA). The NPI Number for DR. BRAD MICHAEL WILLENBRING (D.O.) is 1124464185

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRAD MICHAEL WILLENBRING (D.O.)
NPI
1124464185
Phone
(907) 353-4127
Address
3406 ALDER AVE
Enumeration Date
17 May 2013
Last Update Date
18 October 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5158759607
Graduation Year
2013 (13 years ago)
PAC ID
2961758826
Group Practice PAC ID
4082513742
Professional Enrollment ID
I20200807002411
Address ID
IA501111307GR825XXDRXX402

Contacts

Secure Messaging
bradwillenbring@tic.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

495 FAMILY PRACTICE in AK

Provider Addresses for DR. BRAD MICHAEL WILLENBRING (D.O.)

  • 3406 ALDER AVE

    ROOM 259

    FT WAINWRIGHT, AK 99703

    Phone: (907) 353-4127

    Type: Mailing

  • 1515 DELHI ST STE 100

    DUBUQUE, IA 520016320

    Phone: (563) 557-9111

    Type: Mailing

  • 320 N GRANDVIEW AVE STE D

    DUBUQUE, IA 520016328

    Phone: (563) 583-9300

    Type: Location

  • PO BOX 424

    DES MOINES, IA 503020424

    Phone: (515) 875-9255

    Fax: (515) 875-9223

    Type: Mailing

  • 825 NE GATEWAY DR STE 148

    GRIMES, IA 501111307

    Phone: (515) 875-9607

    Fax: (515) 875-9608

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200807002411IFamily PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample21588$0
99214Established patient office or other outpatient visit, 30-39 minutes13177$0
99213Established patient office or other outpatient visit, 20-29 minutes7956$0
80053Blood test, comprehensive group of blood chemicals7473$0
80061Blood test, lipids (cholesterol and triglycerides)7367$0
View full utilization report →

Insurance plans in this area (ZIP 99703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082513742View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
P O D I A T R YIA
Internal MedicineIA
Family PracticeIA
-IA
Family PracticeIA
Orthopedic SurgeryMO
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

Where can patients find DR. BRAD MICHAEL WILLENBRING (D.O.)'s NPI?
You can confirm DR. BRAD MICHAEL WILLENBRING (D.O.) with NPI 1124464185; it appears in the national provider directory.
Is DR. BRAD MICHAEL WILLENBRING (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. BRAD MICHAEL WILLENBRING (D.O.) work in?
You can think of DR. BRAD MICHAEL WILLENBRING (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRAD MICHAEL WILLENBRING (D.O.)'s primary listing?
We display Ft Wainwright, Alaska because that is what the record indicates for DR. BRAD MICHAEL WILLENBRING (D.O.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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