Physician Compare National (NPI:1083967772)

HEALTHCARE PROVIDER: NELSON CARL HULBERT D.P.M.

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

Individual Professional Information
NPI	1083967772
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759691041
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151117003048
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HULBERT
	Individual professional last name
Provider First Name	NELSON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	475 MAITLAND AVE
	Group Practice or individual's line 1 address
City	ALTAMONTE SPRINGS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327015444
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y