Physician Compare National (NPI:1376655050)

HEALTHCARE PROVIDER: DARIN RAY BRINK MD

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

Individual Professional Information
NPI	1376655050
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608841978
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050509000531
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRINK
	Individual professional last name
Provider First Name	DARIN
	Individual professional first name
Provider Middle Name	RAY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST BENEDICT HEALTH CENTER
	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	4880507672
	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	14
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	401 W GLYNN DR
	Group Practice or individual's line 1 address
City	PARKSTON
	Group Practice or individual's city
State	SD
	Group Practice or individual's state
Zip Code	573669605
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	240063
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	240053
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PARK NICOLLET METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	431330
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	AVERA ST BENEDICT HEALTH CENTER - CAH
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y