The Bladder Clinic LLC
NPI 1992550974ActiveOrganization· Urology· Bountiful, UT
Urology in Bountiful, Utah, registered in NPPES in April 2024. The authorized official on file is Carey Shimada, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992550974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2024 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 3, 2025 |
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 Part B Supplier - Clinic/Group Practice (UT) |
|---|
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