Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek Witteman, DO

Individual provider General Practice Physician · NPI 1770996779

Dr. Derek Witteman, DO is a General Practice in San Antonio, Texas. Qualified in 2014, 12 years ago. Practices with Professional Imaging PLLC, a 25-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
12
Licensed in
CA, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8519 State Highway 151
San Antonio, TX 78245-2492
Phone: (530) 720-1785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence S6095 (TX)
General Practice Physician Taxonomy 208D00000X · Licence 20A14540 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770996779
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address5900 Balcones Dr Ste 100, Austin, TX 78731-4298

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Professional Imaging Pllc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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