Physician Compare National (NPI:1265789341)

HEALTHCARE PROVIDER: JULIO MOCELLIN BERNARDI 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	1265789341
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345673737
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191125001316
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOCELLIN BERNARDI
	Individual professional last name
Provider First Name	JULIO
	Individual professional first 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	2011
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MERCY CLINIC JOPLIN LLC
	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	0547300196
	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	236
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3126 S JACKSON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	100 MC JOPLIN BEHAVIORAL HEALTH JOPLIN
	Group Practice or individual's line 2 address
City	JOPLIN
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	648042500
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4177817337
	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	260001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL JOPLIN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y