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BRIANNA BODERMAN MD
NPI 1043898687
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since April 01, 2021PECOS Enrolled
600 HIGHLAND AVE, MADISON, WI 53792(218) 343-4462 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 13, 2023, Dec 15, 2022, Apr 1, 2021 (3 updates tracked since 2021).

About Brianna Boderman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIANNA BODERMAN MD (NPI 1043898687) is an individual student in an organized health care education/training program in Madison, Wisconsin, licensed in Wisconsin (8124120) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043898687
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIANNA BODERMANCredential: MD
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing AddressUw Hospitals And Clinics 600 Highland AveMadison, WI 53792-2401 · (608) 263-6400
Phone(218) 343-4462
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1043898687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WI · 8124120
Definition
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.
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Other Names 1

Former Name (1)Brianna Lally

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Boderman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brianna Boderman's NPI number?

The NPI number for Brianna Boderman is 1043898687. It was assigned to this individual provider in the NPPES registry on April 1, 2021. The provider is also known as Brianna Lally.

Where is Brianna Boderman located?

Brianna Boderman practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (218) 343-4462.

What is Brianna Boderman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brianna Boderman enrolled in Medicare?

Yes. Brianna Boderman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brianna Boderman was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.