Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Trinity J Bivalacqua, MDPHD

Individual provider Urology Physician · NPI 1265579254

Trinity J Bivalacqua, MDPHD is an Urology in Philadelphia, Pennsylvania. Graduated from Tulane University School of Medicine in 2004, 22 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Tulane University School of Medicine
Licensed in
PA
In the registry since
2007
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Practice location Address checks out

3400 Civic Center Blvd West Pavilion 3rd Fl
Philadelphia, PA 19104-5127
Phone: (215) 662-2891
Fax: (215) 662-6734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD475725 (PA)

Record details

NPI number1265579254
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address3400 Civic Center Blvd, West Pavilion 3rd Floor, Philadelphia, PA 19104-5127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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