Physician Compare National (NPI:1316977457)

HEALTHCARE PROVIDER: WARREN F NEELY 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	1316977457
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628263712
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101115001108
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEELY
	Individual professional last name
Provider First Name	WARREN
	Individual professional first name
Provider Middle Name	F
	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 LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4410 MEDICAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 600
	Group Practice or individual's line 2 address
City	SAN ANTONIO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	782293755
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2106155200
	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	450388
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y