Brock Bodily
NPI 1366004517ActiveIndividual· Physician Assistant, Surgical· South Jordan, UT
Physician Assistant, Surgical in South Jordan, Utah, licensed in UT, with an NPI issued in July 2019. Part D covered 20 prescriptions written in 2024, 70% of them generic. Revance Therapeutics, Inc. reported $84.86 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1366004517 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 8, 2019 |
| Last updated in NPPES | Jul 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 11353289-8002 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 21 30-day fills |
|---|---|
| Total drug cost | $375.97 |
| Generic share | 70% of claims |
Industry payments (Open Payments)
- 2024$84.86 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $84.86 | 1 |
What the 2024 payments were for
- Food and Beverage$84.86 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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