Brown Road Family Medicine, PLLC
NPI 1518081066ActiveOrganization· Preferred Provider Organization· Mesa, AZ
Preferred Provider Organization in Mesa, Arizona, registered in NPPES in March 2007. The authorized official on file is Katy Keller, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518081066 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 20274 | AZ |
| Preferred Provider Organization | 305R00000X | 2834 | AZ |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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