Physician Compare National (NPI:1417089236)

HEALTHCARE PROVIDER: BRIAN K REBISZ D.C., D.A.C.R.B.

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

Individual Professional Information
NPI	1417089236
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759544075
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120524000519
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REBISZ
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8420 W CHESTER PIKE
	Group Practice or individual's line 1 address
City	UPPER DARBY
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190822725
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y