Active NPI
Brian D Wittenberg MD PC
- Durable Medical Equipment & Medical Supplies
- Cheboygan, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4301054711
- Legal business name
- BRIAN D WITTENBERG MD PC
- Practice address
- 838 S Main St
Cheboygan, MI 49721-2283 - Phone
- (231) 347-5155
- Fax
- (231) 347-6128
- NPI assigned
- Jun 2, 2011
- Last updated
- Jun 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian D Wittenberg, MD
- Title
- President
- Phone
- (231) 347-5155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4301054711 | MI | Primary |
Addresses
Primary practice location
838 S Main St
Cheboygan, MI 49721-2283
Mailing address
4048 Cedar Bluff Dr
Suite 1
Petoskey, MI 49770
Phone (231) 347-5155
National Provider Directory
National Provider Directory- Tax ID family
- Brian D Wittenberg MD PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Petoskey, MI
- NPI 1477847564
-
- Durable Medical Equipment & Medical Supplies
- Charlevoix, MI
- NPI 1952694010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Petoskey, MI
- NPI 1205845070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1710271218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 CEDAR BLUFF DR",
"address_2": "SUITE 1",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "49770",
"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": "838 S MAIN ST",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497212283",
"telephone_number": "231-347-5155",
"fax_number": "231-347-6128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN D WITTENBERG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "WITTENBERG",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-347-5155",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "4301054711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheboygan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.