Physician Compare National (NPI:1225172083)

HEALTHCARE PROVIDER: BRENDAN PATRICK FRAWLEY JR. MD

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

Individual Professional Information
NPI	1225172083
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567460579
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111111000051
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRAWLEY
	Individual professional last name
Provider First Name	BRENDAN
	Individual professional first name
Provider Middle Name	P
	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	UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	INDIANA SURGICAL ASSOCIATES PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2163415621
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7895 GRAND BLVD
	Group Practice or individual's line 1 address
City	HOBART
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463426665
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2199471910
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FRANCISCAN HEALTH CROWN POINT
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y