Blake Edward Wittenberg, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

73245 Issued in TN

Practice address

1932 Alcoa Hwy Ste 360
Knoxville, TN 37920-1509

Phone

(865) 524-1869

NPI assigned

Apr 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Louisiana State University School of Medicine in New Orleans, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Neurosurgical Associates, PC

  • Neurological Surgery Physician
  • Knoxville, TN
  • NPI 1639126188
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation
• Morristown Hamblen Hospital Association

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1982191003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201509",
            "telephone_number": "865-524-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201509",
            "telephone_number": "865-524-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBERG",
        "first_name": "BLAKE",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-14",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "DR.0066896",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "73245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Sue Witt, CRNA
• Barbara Witt
• Kerry Lynn Witt, APRN
• Thomas Austin Witt, MD
• Angela Kaye Wittenberg, RDH
• WM Kevin Bailey MD PC
• Kurt Werner Wodtke, PA
• Andrew Patton Wofford, MD
• Audrey Meredith Wohl, FNP-BC
• Kerma S Wohlwend, MA,CCC-SLP

• Neurological Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Neurological Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.