Physician Compare National (NPI:1336466895)

HEALTHCARE PROVIDER: BRIDGET HERSCHAP 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	1336466895
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557688298
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200713003602
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERSCHAP
	Individual professional last name
Provider First Name	BRIDGET
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3333 W DEYOUNG ST
	Group Practice or individual's line 1 address
City	MARION
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	629595884
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HEARTLAND REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140294
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CROSSROADS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010001
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTHEAST ALABAMA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010029
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	EAST ALABAMA MEDICAL CENTER AND SNF
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450023
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	CITIZENS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1336466895)

HEALTHCARE PROVIDER: BRIDGET HERSCHAP M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information