Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent Wildberger, PA-C

Individual provider Surgical Physician Assistant · NPI 1740654631

Brent Wildberger, PA-C is a Physician Assistant in Mobile, Alabama. Graduated from University of South Alabama College of Medicine in 2015, 11 years ago. Practices with Imc-Cardio-Thoracic and Vascular Surgical Associates LLC, a 22-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
11
Trained at
University of South Alabama College of Medicine
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone: (251) 471-3544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Hospital St Ste 12, Pascagoula, MS 39581-5306 — (251) 471-3544

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1740654631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2015
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Imc-Cardio-Thoracic And Vascular Surgical Associates Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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