Physician Compare National (NPI:1447236302)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1447236302
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567536188
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080730000816
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRATTON
	Individual professional last name
Provider First Name	JUDITH
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1500 E MAIN ST
	Group Practice or individual's line 1 address
City	LANCASTER
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	431303478
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360072
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FAIRFIELD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	361330
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOCKING VALLEY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360358
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DILEY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y