Physician Compare National (NPI:1255622338)

HEALTHCARE PROVIDER: BRANDON NIEMEIER 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	1255622338
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921253584
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190617000289
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIEMEIER
	Individual professional last name
Provider First Name	BRANDON
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7850 VISTA HILL AVE
	Group Practice or individual's line 1 address
City	SAN DIEGO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921232717
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6192944119
	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	050025
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M