Physician Compare National (NPI:1073663688)

HEALTHCARE PROVIDER: BROOKS ROSS GREGER II CRNA

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

Individual Professional Information
NPI	1073663688
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395849681
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090311000247
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GREGER
	Individual professional last name
Provider First Name	BROOKS
	Individual professional first name
Provider Middle Name	ROSS
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TRINITY MEDICAL ASSOCIATES 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	4587926357
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2727 E LEMMON AVE
	Group Practice or individual's line 1 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752042833
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2144433000
	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	450885
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT AND WHITE MEDICAL CENTER CENTENNIAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y