Physician Compare National (NPI:1164726378)

HEALTHCARE PROVIDER: OSAGIE BELLO M.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	1164726378
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668641598
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110811000174
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BELLO
	Individual professional last name
Provider First Name	OSAGIE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	205 W LEGION RD
	Group Practice or individual's line 1 address
Line 2 Street Address	ST 1
	Group Practice or individual's line 2 address
City	BRAWLEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	922277780
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050342
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIONEERS MEMORIAL HEALTHCARE DISTRICT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050045
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EL CENTRO REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y