Individual
DR. MICHAEL W BITTENBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 GREEN VALLEY RD, SUITE 100, NEW ALBANY, IN 47150-4649
(812) 945-2100
(945) 945-9495
Mailing address
2315 GREEN VALLEY RD, SUITE 100, NEW ALBANY, IN 47150-4649
(812) 945-2100
(945) 945-9495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206457
ANTHEM PROV #
IN
01
—
0101202
UNITED HEALTHCARE PROV #
IN
01
—
080176753
RAILROAD MEDICARE PROV #
IN
05
—
200242050
—
IN
01
—
352154103B
HUMANA PROV #
KY
05
—
64114937
—
KY
Enumeration date
08/22/2005
Last updated
12/08/2020
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