Physician Compare National (NPI:1033384201)

HEALTHCARE PROVIDER: BRIAN W MOSS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033384201
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476624545
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120907000672
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOSS
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Middle Name	WARREN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BARRIER REEF EMERGENCY PHYSICIANS PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4789738360
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	301 UNIVERSITY BLVD
	Group Practice or individual's line 1 address
City	GALVESTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	775550100
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4097721521
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	130014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WEST VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y