Physician Compare National (NPI:1306802053)

HEALTHCARE PROVIDER: NATHANIEL P. BROOKS 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	1306802053
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214081405
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100728000947
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROOKS
	Individual professional last name
Provider First Name	NATHANIEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF WISCONSIN
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
	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	6608785464
	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	1835
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	621 SCIENCE DR
	Group Practice or individual's line 1 address
City	MADISON
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	537111074
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6082638400
	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	520098
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	521351
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	REEDSBURG AREA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y