Physician Compare National (NPI:1053358440)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1053358440
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355514993
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111027000287
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARFIELD
	Individual professional last name
Provider First Name	CARLYSLE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	RHEUMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	RHEUMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2085 HENRY TECKLENBURG DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	CHARLESTON
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	294147711
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BON SECOURS-ST FRANCIS XAVIER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y