Dr. Brandon Michael Wubben, MD

Emergency Medicine in O Fallon, MO. Individual provider (NPI-1).

NPI number1205327111

StatusActive

Last updated in NPPESSep 9, 2025

Details

NPI: 1205327111
Entity type: Individual (NPI-1)
Name: Dr. Brandon Michael Wubben
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 25, 2018
Certification date: Mar 24, 2025
Last updated: Sep 9, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	2025029102	MO	Yes

Practice location

2 Progress Point Pkwy
Dept Emergency Med
O Fallon, MO 63368-2205

Phone 314-362-9123 · Fax 314-747-9160

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-362-9123 · Fax 314-747-9160

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Other Emergency Medicine Physician providers in O Fallon, MO

All 10 Emergency Medicine Physician providers in O Fallon · All 1,566 providers in O Fallon

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