Physician Compare National (NPI:1427052950)

HEALTHCARE PROVIDER: BRYAN R. NEUWIRTH DDS, 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	1427052950
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870573033
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040730000124
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEUWIRTH
	Individual professional last name
Provider First Name	BRYAN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	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
Line 1 Street Address	110 JUNIPER ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	MORGANTON
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	286554677
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y