Physician Compare National (NPI:1144452244)

HEALTHCARE PROVIDER: BURT B. GRENELL PH.D.

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

Individual Professional Information
NPI	1144452244
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971649260
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090929000503
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRENELL
	Individual professional last name
Provider First Name	BURT
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
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	1987
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1226 31ST ST NW
	Group Practice or individual's line 1 address
City	WASHINGTON
	Group Practice or individual's city
State	DC
	Group Practice or individual's state
Zip Code	200073402
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y