Physician Compare National (NPI:1043385479)

HEALTHCARE PROVIDER: EDWARD A MADRID DC

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

Individual Professional Information
NPI	1043385479
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507811957
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161129001028
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADRID
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	LOS ANGELES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	18631 N 19TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 152
	Group Practice or individual's line 2 address
City	PHOENIX
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	850275800
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y