Physician Compare National (NPI:1275621856)

HEALTHCARE PROVIDER: CHARLES KEVIN PEIRCE 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	1275621856
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284735861
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070726000384
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PEIRCE
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3201 UNIVERSITY E DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 440
	Group Practice or individual's line 2 address
City	BRYAN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	778023486
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI ST JOSEPH HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450834
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PHYSICIANS CENTRE,THE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670088
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450187
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y