BRIANNA BODERMAN MD
NPI 1043898687
Student in an Organized Health Care Education/Training Program in Madison, WI
NPI Status: Active since April 01, 2021
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About BRIANNA BODERMAN
This page provides the complete NPI Profile along with additional information for Brianna Boderman, a primary care provider established in Madison, Wisconsin with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1043898687 assigned on April 2021. The practitioner's primary taxonomy code is 390200000X with license number 8124120 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1043898687
- Provider Name
- BRIANNA BODERMAN MD
- Other Name
- BRIANNA LALLY
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 600 HIGHLAND AVE MADISON, WI 53792
- Location Phone
- (218) 343-4462
- Mailing Address
- UW HOSPITALS AND CLINICS 600 HIGHLAND AVE MADISON, WI 53792
- Mailing Phone
- (608) 263-6400
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2021
- Last Update Date
- 03-13-2023
- Code Navigator
A primary care provider (PCP) like Brianna Boderman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 8124120
- License State
- WI
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Brianna Boderman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 8 | 9 | 8 | 6 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 16 | 9 | 16 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 6 + 9 + 1 + 6 + 6 + 1 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1043898687 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073595575 | PETER STIER M.D. Individual | Emergency Medicine | 600 HIGHLAND AVE MADISON, WI 53792 (608) 262-2398 |
| 1730169624 | RALPH M. COLBURN MD Individual | Radiology (Diagnostic Radiology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8340 |
| 1316918758 | DR. A LELAND ALBRIGHT MD Individual | Neurological Surgery | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-9651 |
| 1568434777 | JOHN O FLEMING MD Individual | Psychiatry & Neurology (Neurology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-5442 |
| 1851363063 | JENNY P LIAO MD Individual | Psychiatry & Neurology (Neurology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-5442 |
| 1629040795 | JENNIFER S WINCHELL NP Individual | Nurse Practitioner | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-7502 |
| 1265404800 | LOUIS C FISCHER M.D. Individual | Radiology (Diagnostic Radiology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8340 |
| 1871566620 | JOANNE K RASH PA Individual | Physician Assistant | 600 HIGHLAND AVE MADISON, WI 53792 (608) 265-1700 |
| 1346215233 | TAMARA WILLMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1184690836 | PATRICIA ANN BARRETT MD Individual | Radiology (Radiation Oncology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8500 |
| 1013983527 | JAMES H FITZPATRICK MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1508832015 | MARK E SCHROEDER MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1700852217 | KARL WILLMANN MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1871569384 | FRANCES WIEDENHOEFT CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1043286560 | REBECCA ANN KONKOL CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1700852225 | THOMAS O MONSOOR CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1194791590 | KATHRYN F FAHRENKRUG CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1265408660 | GIUDITTA ANGELINI MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1255307658 | GEORGE M SAVIELLO MD MBA Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
| 1376519447 | ROBERT B HOLLAND MD Individual | Internal Medicine (Medical Oncology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-7500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043898687, enumerated in the NPI registry as an "individual" on April 01, 2021
The provider is located at 600 Highland Ave Madison, Wi 53792 and the phone number is (218) 343-4462
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 01, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.