Philip Brodak
TRI-VALLEY UROLOGY MEDICAL GROUP


Address: 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Phone: 9516981901

Philip Brodak (NPI# 1417057514, PAC ID# 9830177005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1417057514
PAC ID by PECOS 9830177005
Professional Enrollment ID I20081002000066
Full Name Philip Brodak
Organization Legal Name TRI-VALLEY UROLOGY MEDICAL GROUP
Address 591 E Elder St
Suite C
Fallbrook
CA 92028-5001
Phone Number 9516981901
Gender M
Medical School HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1987
Primary Specialty UROLOGY
Group Practice PAC ID 2668449125
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050701 SOUTHWEST HEALTHCARE SYSTEM
050770 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA
050775 TEMECULA VALLEY HOSPITAL

Other Locations

Address Phone Organization
591 E Elder St, Suite C, Fallbrook, CA 92028-5001 9516981901 TRI-VALLEY UROLOGY MEDICAL GROUP
25495 Medical Ctr Dr, Suite 204, Murrieta, CA 92562-4903 9516981901 TRI-VALLEY UROLOGY MEDICAL GROUP

Organization Information

Organization Legal Name TRI-VALLEY UROLOGY MEDICAL GROUP
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Natalie Anastasia Nealeigh Physician Assistant Tri-valley Urology Medical Group 25495 Medical Ctr Dr, Suite 204, Murrieta, CA 92562-4903
Richard Conner Urology Tri-valley Urology Medical Group 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Sreenivas N Vemulapalli Urology Tri-valley Urology Medical Group 25495 Medical Ctr Dr, Murrieta, CA 92562-4903
Monisha S Crisell Urology Tri-valley Urology Medical Group 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Benjamin Thayne Larson Urology Tri-valley Urology Medical Group 25495 Medical Ctr Dr, Suite 204, Murrieta, CA 92562-4903

Office Location

Street Address 591 E ELDER ST
SUITE C
City FALLBROOK
State CA
Zip 92028-5001

Physicians in the same location

Name Specialty Organization Address
Niraj V Parekh Cardiovascular Disease (cardiology) Cardiology Specialists Medical Group Inc 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Richard Conner Urology Tri-valley Urology Medical Group 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Shanka Nandi Nephrology Nephrology Associates Medical Group Inc 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Richard J Reynolds Iii Internal Medicine Southern California Physician Network, Inc 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Jerry Zhong Yu Nephrology Nephrology Associates Medical Group Inc 591 E Elder St, Suite C, Fallbrook, CA 92028-5001
Monisha S Crisell Urology Tri-valley Urology Medical Group 591 E Elder St, Suite C, Fallbrook, CA 92028-5001

Physicians in the same zip code

Name Specialty Organization Address
Helena Holmes Morrison Clinical Social Worker 2068 E Mission Rd, Fallbrook, CA 92028-1837
Graydon W Skeoch Emergency Medicine 617 E Alvarado St, Fallbrook, CA 92028-2315
Peter Strutz Internal Medicine 605 E Alvarado St, Suite 100, Fallbrook, CA 92028-2315
Lawrence Franklin Pearson Obstetrics/gynecology 113 S Vine St, Suite A, Fallbrook, CA 92028-2925
Michael Foli Chiropractic 210 S Vine St, Fallbrook, CA 92028-2926
Enchanta L Jenkins Obstetrics/gynecology 585 E Elder St, Fallbrook, CA 92028-3003
William Andrew Atkins Physical Therapy All Star Physical Therapy Inc 577 E Elder St, Suite I, Fallbrook, CA 92028-3079
Carol A Heck Psychologist, Clinical 577 E Elder St C, Fallbrook, CA 92028-3079
Carrie Ann Loomis Physical Therapy All Star Physical Therapy Inc 577 E Elder St, Suite I, Fallbrook, CA 92028-3079
Cheyenne Rose Spencer Physical Therapy All Star Physical Therapy Inc 577 E Elder St, Suite I, Fallbrook, CA 92028-3079
Find all physicians in zip 92028

Competitor

Search similar physicians

City FALLBROOK
Zip Code 92028
Specialty UROLOGY
City + Specialty FALLBROOK + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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