Kevin W. Broder, M. D. Incorporated
NPI 1336392604ActiveOrganization· Plastic Surgery· San Diego, CA
Plastic Surgery in San Diego, California, registered in NPPES in October 2008. The authorized official on file is Kevin Broder, MD, President.
Overview
| NPI | 1336392604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2008 |
| Last updated in NPPES | Oct 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | A82409 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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