Physician Compare National (NPI:1285625699)

HEALTHCARE PROVIDER: BARRY R PAULL 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	1285625699
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305849217
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101220001217
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAULL
	Individual professional last name
Provider First Name	BARRY
	Individual professional first name
Provider Middle Name	R
	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 MIAMI, LM MILLER SCHOOL OF MEDICINE
	Individual professional's medical school
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3306 LONGMIRE DR
	Group Practice or individual's line 1 address
City	COLLEGE STATION
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	778455812
	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
Professional Accepts Medicare Assignment	M