Brazosport Urology, PA
NPI 1417177270ActiveOrganization· Urology· Lake Jackson, TX
Urology in Lake Jackson, Texas, registered in NPPES in April 2007. The authorized official on file is Derrick Anthony Berger, Practice Manager.
Overview
| NPI | 1417177270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2007 |
| Last updated in NPPES | Jun 23, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | M5052 | TX |
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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