Physician Compare National (NPI:1205252970)

HEALTHCARE PROVIDER: PAMELA S BROWN LISW

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

Individual Professional Information
NPI	1205252970
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860615937
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140516001315
	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	PAMELA
	Individual professional first name
Provider Middle Name	SUE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	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	515 GRAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	AMES
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	500106082
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5152320411
	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