Physician Compare National (NPI:1457336737)

HEALTHCARE PROVIDER: EDWARD N BEHEN DPM

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

Individual Professional Information
NPI	1457336737
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779652086
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080513000205
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEHEN
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2217 N 7TH ST
	Group Practice or individual's line 1 address
City	GRAND JUNCTION
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	815017423
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9702451579
	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	060054
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y