Physician Compare National (NPI:1043208739)

HEALTHCARE PROVIDER: BRIDGET PATTERSON-MARSHALL 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	1043208739
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698842755
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150211000230
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATTERSON-MARSHALL
	Individual professional last name
Provider First Name	BRIDGET
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST PETERS HOSPITAL OF THE CITY OF ALBANY
	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	2668460072
	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	165
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	315 S MANNING BLVD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	ALBANY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	122081707
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST PETER'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330203
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CROUSE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330059
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MONTEFIORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330180
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y