Individual provider Active NPI

Brigitte C Widemann, M.D.

  • Pediatric Hematology & Oncology Physician
  • Bethesda, MD
National Provider Identifier
1407130362
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
D0054838 Issued in MD
Practice address
8906 Bradmoor Dr
Bethesda, MD 20817-3457
Phone
(301) 496-7387
Fax
(301) 480-8871
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X D0054838 MD Primary

Addresses

Primary practice location

8906 Bradmoor Dr
Bethesda, MD 20817-3457

Mailing address

8906 Bradmoor Drive
Bethesda, MD 20817-3457
Phone (301) 496-7387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0054838MDMDPediatric Hematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1407130362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 BRADMOOR DRIVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173457",
            "telephone_number": "301-496-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 BRADMOOR DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173457",
            "telephone_number": "301-496-7387",
            "fax_number": "301-480-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDEMANN",
        "first_name": "BRIGITTE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MD",
            "license": "D0054838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.