Physician Compare National (NPI:1396035341)

HEALTHCARE PROVIDER: ANDREW ERIC BROOKENS 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	1396035341
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012224512
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160906001142
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROOKENS
	Individual professional last name
Provider First Name	ANDREW
	Individual professional first name
Provider Middle Name	ERIC
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST, INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1260 S PARKER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	DENVER
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802318068
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	060064
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTURA HEALTH-PORTER ADVENTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060118
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST. ANTHONY SUMMIT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y