Tri Valley Urology Medical Group
NPI 1659471746ActiveOrganization· Urology· Murrieta, CA
Urology in Murrieta, California, registered in NPPES in September 2006. The authorized official on file is Philip P. Brodak, MD, Partner. Enrolled in Medicare as dme supplier - physician - urology and part b supplier - clinic/group practice.
Overview
| NPI | 1659471746 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Sep 8, 2021 |
| Certified by provider | Sep 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
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) | Enrolled DME Supplier - Physician - Urology (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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