Physician Compare National (NPI:1386815041)

HEALTHCARE PROVIDER: BRENT R ROSEN 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	1386815041
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638244809
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080822000268
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSEN
	Individual professional last name
Provider First Name	BRENT
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	OSTEOPATHIC MANIPULATIVE MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	401 HYDE PARK
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG 4 SUITE 401
	Group Practice or individual's line 2 address
City	DOYLESTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	199026619
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390203
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOYLESTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y