Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian P Wille, PA-C

Individual provider Physician Assistant · NPI 1164182317

Brian P Wille, PA-C is a Physician Assistant in Flint, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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

4466 W Bristol Rd
Flint, MI 48507-3170
Phone: (810) 733-1200
Fax: (810) 733-0688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4001 W McNichols Rd, Detroit, MI 48221-3038 — (313) 993-1245
  • 17015 Silver Pkwy, Fenton, MI 48430-3425 — (810) 593-0023

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010971 (MI)

Record details

NPI number1164182317
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Flint