Physician Compare National (NPI:1427206465)

HEALTHCARE PROVIDER: BRIAN CHRISTOPHER LENCZEWSKI 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	1427206465
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688728173
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190320003008
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LENCZEWSKI
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Middle Name	CHRISTOPHER
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MERCY CLINICS INC
	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	7911810882
	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	396
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	330 LAUREL ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1200
	Group Practice or individual's line 2 address
City	DES MOINES
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	503143044
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5156435454
	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	490052
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIVERSIDE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	160083
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY MEDICAL CENTER-DES MOINES
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y