Physician Compare National (NPI:1386673010)

HEALTHCARE PROVIDER: TRISTAN CALDERON BRIONES II 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	1386673010
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426058488
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061222000275
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRIONES
	Individual professional last name
Provider First Name	TRISTAN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OHIO COUNTY HOSPITAL CORPORATION
	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	3577477264
	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	38
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1215 OLD MAIN ST
	Group Practice or individual's line 1 address
City	HARTFORD
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	423471619
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2707305344
	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	180038
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OWENSBORO HEALTH REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	181323
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OHIO COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y