| Philip P Brodak, MD | |
|
25495 Medical Center Dr Ste 204, Murrieta, CA 92562-4903 | |
| (951) 698-1901 | |
| (951) 364-3639 |
| Full Name | Philip P Brodak |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 25495 Medical Center Dr Ste 204, Murrieta, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417057514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | G64287 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Healthcare System | Murrieta, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-valley Urology Medical Group | 2668449125 | 9 |
| Entity Name | Tri-valley Urology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659471746 PECOS PAC ID: 2668449125 Enrollment ID: O20040914000598 |
| Entity Name | Tri-valley Urology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659471746 PECOS PAC ID: 2668449125 Enrollment ID: O20091215000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip P Brodak, MD 25495 Medical Center Dr, Suite 204, Murrieta, CA 92562-4902 Ph: (951) 698-1901 | Philip P Brodak, MD 25495 Medical Center Dr Ste 204, Murrieta, CA 92562-4903 Ph: (951) 698-1901 |
Richard J Conner, MD Urology Medicare: Medicare Enrolled Practice Location: 25495 Medical Center Dr, Ste 204, Murrieta, CA 92562 Phone: 951-698-1901 Fax: 951-698-1074 | |
Dr. Varun Talanki, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25495 Medical Center Dr Ste 204, Murrieta, CA 92562 Phone: 951-698-1901 Fax: 951-364-3639 | |
Aaron Solomon Bloch, Urology Medicare: Accepting Medicare Assignments Practice Location: 28078 Baxter Rd Ste 450, Murrieta, CA 92563 Phone: 951-677-3000 Fax: 951-672-4171 | |
Dr. Madhumitha C Reddy, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 28078 Baxter Rd Ste 450, Murrieta, CA 92563 Phone: 951-677-3000 Fax: 951-672-4171 | |
Sreenivas N Vemulapalli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25495 Medical Center Dr Ste 204, Murrieta, CA 92562 Phone: 951-698-1901 Fax: 951-364-3639 | |
Dr. Scott K Luttge, M.D., P.A. Urology Medicare: Not Enrolled in Medicare Practice Location: 25495 Medical Center Dr Ste 204, Murrieta, CA 92562 Phone: 951-698-1901 |