Physician Compare National (NPI:1194939579)

HEALTHCARE PROVIDER: WAYNE PETER BROWN L.C.S.W.

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

Individual Professional Information
NPI	1194939579
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426117011
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081112000046
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROWN
	Individual professional last name
Provider First Name	WAYNE
	Individual professional first name
Provider Middle Name	P
	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	1999
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1919 NE 45TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 225
	Group Practice or individual's line 2 address
City	FORT LAUDERDALE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	333085136
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9545368257
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y