1. Home
  2. Directory
  3. Kentucky
  4. Harlan
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. BRENDAN WHITTAKER DO
NPI 1740972256
Student in an Organized Health Care Education/Training Program in Harlan, KY

Active since May 23, 2023PECOS Enrolled
81 BALL PARK RD, HARLAN, KY 40831(606) 573-8100 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, May 23, 2023 (2 updates tracked since 2023).

About Dr. Brendan Whittaker Do NPPES

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

DR. BRENDAN WHITTAKER DO (NPI 1740972256) is an individual student in an organized health care education/training program in Harlan, Kentucky and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740972256
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRENDAN WHITTAKERCredential: DO
Location Address81 BALL PARK RDHarlan, KY 40831-1701
Mailing Address309 N Ridgeland Ave Apt 2Oak Park, IL 60302-4501 · (312) 523-6190
Phone(606) 573-8100
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 23, 2023
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1740972256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 06173 (KY)
81 BALL PARK RD, Harlan, KY 40831
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brendan Whittaker Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264911726
PECOS Enrollment IDI20260205002579
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brendan Whittaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Green Valley Emergency Physicians, LLC
296 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444
Loyola University Medical Center
424 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

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.

SEBASTIAN GAGE BARNETT PHARMD
Pharmacist
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8100
KIMBER NOLAN MS, OTR/L
Occupational Therapist
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8210
AMBER NICOLE STEPP PSS
Peer Specialist
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8100
MOUNTAIN MEDICAL ENTERPRISES, PLLC
Emergency Medicine (Emergency Medical Services)
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8201
SHIVENDRA TANGUTOORI MD
Student in an Organized Health Care Education/Training Program
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8100
HEATHER MCKNIGHT PT, DPT
Physical Therapist
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8210
CAROLE KIPHART BAYS PSC
Radiology (Diagnostic Radiology)
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8100
IMAGING CONSULTANTS, PSC
Radiology (Diagnostic Radiology)
81 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-8100

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 Brendan Whittaker's NPI number?

The NPI number for Brendan Whittaker is 1740972256. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Brendan Whittaker located?

Brendan Whittaker practices at 81 Ball Park Rd, Harlan, KY 40831. The listed phone number is (606) 573-8100.

What is Brendan Whittaker's specialty?

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

Is Brendan Whittaker enrolled in Medicare?

Yes. Brendan Whittaker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brendan Whittaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Whittaker reassigns Medicare benefits to 2 organizations: Green Valley Emergency Physicians, LLC (Paducah, KY) and Loyola University Medical Center (Maywood, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brendan Whittaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Whittaker accept?

Health plans from Oscar Health list Brendan Whittaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brendan Whittaker affiliated with any hospitals?

According to CMS data, Brendan Whittaker is affiliated with Loyola University Medical Center and Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for Brendan Whittaker was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.