Brian D Wittenberg, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301054711 Issued in MI

Practice address

4048 Cedar Bluff Dr
Suite 1
Petoskey, MI 49770-8895

Phone

(231) 347-5155

Fax

(231) 347-6128

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian D Wittenberg

  • Durable Medical Equipment & Medical Supplies
  • Petoskey, MI
  • NPI 1477847564
  NPD (past) Authorized official
• Brian D Wittenberg MD PC

  • Durable Medical Equipment & Medical Supplies
  • Cheboygan, MI
  • NPI 1710271218
  NPD (past) Authorized official
• Brian D Wittenberg MD PC

  • Durable Medical Equipment & Medical Supplies
  • Charlevoix, MI
  • NPI 1952694010
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1205845070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700430",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR",
            "address_2": "SUITE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBERG",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301054711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307797710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winnell Wellness Consulting
• Catherine Winnell-Braendle, R.N.
• Katherine Elaine Winslow, LAC, RAC, DIPL. O.M.
• Emily Wirtz, OT/L
• Michael John Witten, RPH
• Rebecca Woltman, NP-C
• Women'S Resource Center of Northern Michigan
• Adam Jens Wong, AU.D. CCC-A
• Logan Alexander Wood, DDS
• Patricia Geppert Woollcott, RN, CNM

• Orthopaedic Surgery Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.