Physician Compare National (NPI:1285673582)

HEALTHCARE PROVIDER: JOANNA M BRADY 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	1285673582
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921011628
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060725000294
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRADY
	Individual professional last name
Provider First Name	JOANNA
	Individual professional first name
Provider Middle Name	MARIA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	FULTON COUNTY MEDICAL CENTER
	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	6406841295
	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	28
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	214 PEACH ORCHARD RD
	Group Practice or individual's line 1 address
City	MC CONNELLSBURG
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	172338559
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	391303
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FULTON COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390151
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHAMBERSBURG HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390117
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UPMC BEDFORD MEMORIAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y