BRAD A WOLFSON M D A MEDICAL CORPORATION – NPI #1912232166
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

BRAD A WOLFSON M D A MEDICAL CORPORATION is an urologist located in PALM SPRINGS, CA. NPPES has assigned the NPI number 1912232166 to BRAD A WOLFSON M D A MEDICAL CORPORATION on October 06, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 4 years ago on Feb 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAD A WOLFSON M D A MEDICAL CORPORATION below.

NPI Profile for
BRAD A WOLFSON M D A MEDICAL CORPORATION

NPI Number
1912232166
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAD A WOLFSON M D A MEDICAL CORPORATION
Primary location
555 E TACHEVAH DR STE 2
PALM SPRINGS, CA 92262-5750
Phone: (760) 320-6005 Fax: (760) 323-5786
Mailing address
555 E TACHEVAH DR
SUITE 2 WEST 101
PALM SPRINGS, CA 92262-5750
Phone: (760) 320-6005 Fax: (760) 323-5786
Organization Subpart
No
Authorized Official
DORIS EBERHARDT
OFFICE MANAGER
Phone: (760) 320-6005
Updated
Certification Date
Feb 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRAD A WOLFSON M D A MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCA MEDICAL LICENSECAG61080
MEDICAIDCA00G610801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 CA G61080

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
555 E TACHEVAH DR STE 2,
PALM SPRINGS, CA 77025-1669