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Physician Compare National (NPI:1215112065)

HEALTHCARE PROVIDER: BRIAN FELIX SWEENEY JR. 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 1215112065
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7012804297
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100917000283
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SWEENEY
Individual professional last name
Provider First Name BRIAN
Individual professional first name
Provider Middle Name F
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TUFTS UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty GASTROENTEROLOGY
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 4048 LAUREL ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 301
Group Practice or individual's line 2 address
City ANCHORAGE
Group Practice or individual's city
State AK
Group Practice or individual's state
Zip Code 995085391
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 020001
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 PROVIDENCE ALASKA MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 020017
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ALASKA REGIONAL HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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