Physician Compare National (NPI:1245593607)

HEALTHCARE PROVIDER: DR. BRADLEY JAMES STEWART

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

Individual Professional Information
NPI	1245593607
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709000854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140612000443
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEWART
	Individual professional last name
Provider First Name	BRADLEY
	Individual professional first name
Provider Middle Name	JAMES
	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	2012
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1150 N WATTERS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	ALLEN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750135536
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y