Physician Compare National (NPI:1417906777)

HEALTHCARE PROVIDER: BRIAN L. SCHMIDT DMD

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

Individual Professional Information
NPI	1417906777
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214091800
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121002000672
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHMIDT
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Middle Name	L
	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 CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MAXILLOFACIAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MAXILLOFACIAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NEW YORK UNIVERSITY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1355232422
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3248
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	222 E 41ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	FL 22
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100176739
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2122637552
	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	330214
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y