Physician Compare National (NPI:1437314812)

HEALTHCARE PROVIDER: RAYMOND ANGELO BRICKHOUSE JR. D.P.M

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

Individual Professional Information
NPI	1437314812
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244390185
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081121000153
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRICKHOUSE
	Individual professional last name
Provider First Name	RAYMOND
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	YALE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RAYMOND A BRICKHOUSE DPM LLC
	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	8325204662
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6400 CLAYTON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 412
	Group Practice or individual's line 2 address
City	SAINT LOUIS
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	631171850
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3143811800
	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	260091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260210
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ALEXIUS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y