Brodell Medical, Inc
NPI 1922129659ActiveOrganization· Dermatology· Warren, OH
Dermatology in Warren, Ohio, registered in NPPES in April 2007. The authorized official on file is Robert T. Brodell, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922129659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2007 |
| Last updated in NPPES | Mar 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 35051453 | OH |
| Ophthalmology | 207W00000X | 35055185 | OH |
| Ophthalmology | 207W00000X | 35051515 | OH |
| Ophthalmology | 207W00000X | 35055186 | OH |
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 Part B Supplier - Clinic/Group Practice (OH) |
|---|
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