PRODY UROLOGY, PLLC
NPI 1578028197
Urology in West Melbourne, FL

Active since February 07, 2019
575 S WICKHAM RD STE B, WEST MELBOURNE, FL 32904(321) 308-5060 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prody Urology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODY UROLOGY, PLLC (NPI 1578028197) is a healthcare organization registered as an urology in West Melbourne, Florida and active in the NPI registry since February 2019. The organization lists Prodromos Borboroglu, Physician, as its authorized official.

NPPES Registry Identity

NPI1578028197
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePRODY UROLOGY, PLLC
Location Address575 S WICKHAM RD STE BWest Melbourne, FL 32904-1170
Mailing Address575 S Wickham Rd Ste BWest Melbourne, FL 32904-1170 · (321) 308-5060
Organization SubpartNo
Authorized OfficialProdromos BorborogluPhysician · (321) 308-5060
Enumeration DateFebruary 7, 2019
✔ NPI 1578028197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
575 S WICKHAM RD STE B, West Melbourne, FL 32904

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prody Urology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prody Urology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1770543894
575 S WICKHAM RD STE B
West Melbourne, FL 32904
(321) 308-5060
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prody Urology, PLLC's NPI number?

The NPI number for Prody Urology, PLLC is 1578028197. It was assigned to this organization in the NPPES registry on February 7, 2019.

Where is Prody Urology, PLLC located?

Prody Urology, PLLC is located at 575 S Wickham Rd Ste B, West Melbourne, FL 32904. The listed phone number is (321) 308-5060.

What is Prody Urology, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Prody Urology, PLLC enrolled in Medicare?

Yes. Prody Urology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prody Urology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Prody Urology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prody Urology, PLLC was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.