Physician Compare National (NPI:1265595904)

HEALTHCARE PROVIDER: PAUL L BERENBAUM 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	1265595904
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365571627
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100525000215
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERENBAUM
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	LAWRENCE
	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 VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	829 SPRUCE ST
	Group Practice or individual's line 1 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191075752
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2155725555
	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	390142
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALBERT EINSTEIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390231
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ABINGTON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y