Physician Compare National (NPI:1407924939)

HEALTHCARE PROVIDER: STUART BUSSEY MD, AME

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

Individual Professional Information
NPI	1407924939
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406904028
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090507000632
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUSSEY
	Individual professional last name
Provider First Name	STUART
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	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	31 PANORAMIC WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	WALNUT CREEK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945951627
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y