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Green Valley Physical Medicine, Inc

NPI 1780220426ActiveOrganization· General Practice· Green Valley, AZ

General Practice in Green Valley, Arizona, registered in NPPES in November 2019. The authorized official on file is Christopher Cade Broderick, DC, Owner.

Overview

NPI1780220426
StatusActive
Entity typeOrganization
NPI issuedNov 18, 2019
Last updated in NPPESNov 18, 2019

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Green Valley

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