MS. BRENDA J WITTMAN M.D.
NPI 1255407854
Pediatrics - Pediatric Hematology-Oncology in Anchorage, AK
NPI Status: Active since November 27, 2006
Contact Information
3340 PROVIDENCE DR
SUITE A351
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-4824
- Individual
- Female
- Pediatrics
- Pediatric Hematology-Oncology
- Accepts Insurance
- PECOS Enrolled
About BRENDA WITTMAN
This page provides the complete NPI Profile along with additional information for Brenda Wittman, a pediatrician established in Anchorage, Alaska with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology . The healthcare provider is registered in the NPI registry with number 1255407854 assigned on November 2006. The practitioner's primary taxonomy code is 2080P0207X with license number 33820 (AZ). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1255407854
- Provider Name
- MS. BRENDA J WITTMAN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3340 PROVIDENCE DR SUITE A351 ANCHORAGE, AK 99508
- Location Phone
- (907) 212-4824
- Mailing Address
- PO BOX 4105 PORTLAND, OR 97208
- Mailing Phone
- (866) 907-1068
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-27-2006
- Last Update Date
- 07-15-2014
- Code Navigator
A pediatrician like Brenda Wittman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Pediatric Hematology-Oncology
- Taxonomy Code
- 2080P0207X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33820
- License State
- AZ
- Taxonomy Description
- A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103057 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 936073 | MEDICAID (05) | AZ | |
| I28958 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Brenda Wittman 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
Reviews for MS. BRENDA J WITTMAN M.D.
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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 | 2 | 5 | 5 | 4 | 0 | 7 | 8 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 0 | 14 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 0 + 1 + 4 + 8 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1255407854 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1992706865 | DR. EVELYN D RIDER MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1760467476 | DR. RYAN C WAYLAND D.M.D, PROSTHODONTIS Individual | Dentist (General Practice) | 3340 PROVIDENCE DR SUITE 560 PROVIDENCE MEDICAL OFFICE BUILDING ANCHORAGE, AK 99508 (907) 631-6070 |
| 1457328601 | LATOUCHE PEDIATRICS Organization | Pediatrics | 3340 PROVIDENCE DR ANCHORAGE, AK 99508 (907) 562-2120 |
| 1437111093 | DR. JACK JACOB M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1649236084 | MARY PATRICIA DEMERS DO Individual | Internal Medicine | 3340 PROVIDENCE DR STE 466 ANCHORAGE, AK 99508 (907) 263-2200 |
| 1598715864 | DR. EMILIO AVILA M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1295786515 | DR. ERIC H JOHNSON M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1326099656 | DR. LILY J LOU M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1295785707 | DR. KENNETH KESLER M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1508818758 | MISS CYNTHIA DENISE ROSE NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1790704328 | DR. LAURA JONES M.D. Individual | Pediatrics | 3340 PROVIDENCE DR SUITE #452 ANCHORAGE, AK 99508 (907) 562-2120 |
| 1396765905 | DR. TOM HEPLER M.D. Individual | Pediatrics | 3340 PROVIDENCE DR ANCHORAGE, AK 99508 (907) 562-2120 |
| 1255352381 | DR. PHYLLIS KEIHL M.D. Individual | Pediatrics | 3340 PROVIDENCE DR SUITE 452 ANCHORAGE, AK 99508 (907) 562-2120 |
| 1649292889 | DR. MARY BLENKUSH Individual | Pediatrics | 3340 PROVIDENCE DR SUITE 452 ANCHORAGE, AK 99508 (907) 562-2120 |
| 1578578928 | ALASKA CARDIOVASCULAR ASSOCIATES LLC Organization | Internal Medicine (Cardiovascular Disease) | 3340 PROVIDENCE DR #466 ANCHORAGE, AK 99508 (907) 263-2200 |
| 1710994561 | NAOMI LEONARD CPNP Individual | Nurse Practitioner (Pediatrics) | 3340 PROVIDENCE DR SUITE 452 ANCHORAGE, AK 99508 (907) 562-2120 |
| 1386759751 | DR. MARY ALICE JOHNSON M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3340 PROVIDENCE DR SUITE 366 ANCHORAGE, AK 99508 (907) 563-3026 |
| 1962519256 | JOHN TAPPEL MD Individual | Pediatrics | 3340 PROVIDENCE DR SUITE 452 ANCHORAGE, AK 99508 (907) 562-2120 |
| 1689782567 | MARGARET MCFADDEN ANP Individual | Nurse Practitioner (Pediatrics) | 3340 PROVIDENCE DR SUITE 452 ANCHORAGE, AK 99508 (907) 562-2120 |
| 1003918426 | SANDRA FRENIER CPNP Individual | Nurse Practitioner (Pediatrics) | 3340 PROVIDENCE DR SUITE 452 ANCHORAGE, AK 99508 (907) 562-2120 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255407854, enumerated in the NPI registry as an "individual" on November 27, 2006
The provider is located at 3340 Providence Dr Suite A351 Anchorage, Ak 99508 and the phone number is (907) 212-4824
The provider's speciality is Pediatrics with taxonomy code 2080P0207X with a focus in Pediatric Hematology-Oncology
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 November 27, 2006. 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].
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