Physician Compare National (NPI:1396760419)

HEALTHCARE PROVIDER: CHRISTOPHER GABRIEL HISEL 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	1396760419
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547372864
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101122000463
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HISEL
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1998
	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
Line 1 Street Address	706 E FELT ST
	Group Practice or individual's line 1 address
City	BROWNFIELD
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	793163440
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8066370344
	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	450399
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BROWNFIELD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450040
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COVENANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	453306
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COVENANT CHILDRENS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y