Physician Compare National (NPI:1306976063)

HEALTHCARE PROVIDER: JUNE ELIZABETH BREINER 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	1306976063
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597946186
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110302000730
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BREINER
	Individual professional last name
Provider First Name	JUNE
	Individual professional first name
Provider Middle Name	ELIZABETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1205 YORK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 25B
	Group Practice or individual's line 2 address
City	LUTHERVILLE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	210936222
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4108231191
	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	210063
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y