Physician Compare National (NPI:1346654589)

HEALTHCARE PROVIDER: JONATHAN BRET BARRUS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346654589
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628295839
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170630001264
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARRUS
	Individual professional last name
Provider First Name	JONATHAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	APOGEE MEDICAL GROUP PC
	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	8820980188
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	351 SW 9TH ST
	Group Practice or individual's line 1 address
City	ONTARIO
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	979142639
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5418817423
	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	380052
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	130006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKE'S REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y