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

Dr. Brian Wideman, DO

Individual provider Neurology Physician · NPI 1295364008

Dr. Brian Wideman, DO is a Neurology in Ypsilanti, Michigan. Graduated from Michigan State University College of Human Medicine in 2020, 6 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5333 McAuley Dr Ste 109
Ypsilanti, MI 48197
Phone: (734) 712-1400
Fax: (616) 267-7901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 — (616) 267-7104

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 5101027876 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence 5151014375 (MI)

Record details

NPI number1295364008
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESAugust 12, 2025
Certification dateFebruary 12, 2025
Mailing address24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2020 (6 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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