Physician Compare National (NPI:1063470235)

HEALTHCARE PROVIDER: ANDREW E BRIGLIA DO

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

Individual Professional Information
NPI	1063470235
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759449473
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140729002465
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRIGLIA
	Individual professional last name
Provider First Name	ANDREW
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1200 MERCANTILE LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	UPPER MARLBORO
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207745389
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3013222681
	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	210023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ANNE ARUNDEL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y