DR. BRIAN PHILIP DEFADE (D.O.) – Urology Physician, NPI 1679764534

DR. BRIAN PHILIP DEFADE (D.O.) is a healthcare provider. based in Ashland, Kentucky. specializing in UROLOGY. They hold the professional credentials D.O.. They hold a License No. 03268 (KY). The NPI Number for DR. BRIAN PHILIP DEFADE (D.O.) is 1679764534

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN PHILIP DEFADE (D.O.)
NPI
1679764534
Phone
(606) 833-3333
Address
1101 SAINT CHRISTOPHER DR
Enumeration Date
6 August 2007
Last Update Date
26 August 2010

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
8508630883
Graduation Year
2004 (22 years ago)
PAC ID
5092851014
Group Practice PAC ID
5597801779
Professional Enrollment ID
I20250624003253
Address ID
FL325471796FO320XXNWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

156 UROLOGY in KY

Provider Addresses for DR. BRIAN PHILIP DEFADE (D.O.)

  • 1101 SAINT CHRISTOPHER DR

    ASHLAND, KY 411017087

    Phone: (606) 833-3333

    Fax: (606) 833-4668

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250624003253IUrologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41101)

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Provider's Procedures

DR. BRIAN PHILIP DEFADE (D.O.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYKY55700Biopsy of prostate gland1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597801779View full group profile
NameSpecialtyState
General SurgeryFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Thoracic SurgeryFL
O T O L A R Y N G O L O G YTX
Nurse PractitionerFL
Critical Care (Intensivists), General SurgeryNV
Nurse PractitionerLA
-FL
-FL

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Frequently asked questions

Can I cross-check DR. BRIAN PHILIP DEFADE (D.O.) using NPI 1679764534?
NPI 1679764534 belongs to DR. BRIAN PHILIP DEFADE (D.O.); compare other details if you need extra assurance.
Is DR. BRIAN PHILIP DEFADE (D.O.) shown as active in public data?
Registry records indicate DR. BRIAN PHILIP DEFADE (D.O.) maintains an active NPI.
What area of care is associated with DR. BRIAN PHILIP DEFADE (D.O.)?
DR. BRIAN PHILIP DEFADE (D.O.)'s record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRIAN PHILIP DEFADE (D.O.) associated with Ashland?
Public fields place DR. BRIAN PHILIP DEFADE (D.O.) around Ashland, Kentucky. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. BRIAN PHILIP DEFADE (D.O.) is noted as August 6, 2007 where the registry provides it.

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