# JUSTIN J BITTNER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871534909
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS008722L | PA | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016053450008 | — | PA |
| 01 | — | 0983190000 | IBC - PC/KHPE | PA |
| 01 | — | 10923215 | CAQH ID\# | PA |
| 01 | — | 16523-OS008722L | HEALTH PARTNERS | PA |
| 01 | — | 1859552 | CIGNA HMO/PPO | PA |
| 01 | — | 2646497 | AETNA HMO | PA |
| 01 | — | 30028991 | KEYSTONE MERCY | PA |
| 01 | — | 379042 | PHCS | PA |
| 01 | — | 528278 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 5754511 | AETNA PPO | PA |