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

Dr. Brandon Mark Wiley, MD

Individual provider Internal Medicine Physician · NPI 1104152412

Dr. Brandon Mark Wiley, MD is a Cardiovascular Disease (Cardiology) in Los Angeles, California. Graduated from Temple University School of Medicine in 2009, 17 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Temple University School of Medicine
Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Phone: (323) 442-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A116066 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A116066 (CA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A116066 (CA)

Record details

NPI number1104152412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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