Physician Compare National (NPI:1477645570)

HEALTHCARE PROVIDER: BRADLEY AYLOR M.D.

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

Individual Professional Information
NPI	1477645570
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395633127
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050124000515
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AYLOR
	Individual professional last name
Provider First Name	BRADLEY
	Individual professional first name
Provider Middle Name	L
	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 UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	PREVENTATIVE MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	SPORTS MEDICINE
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT, PREVENTATIVE MEDICINE, SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	925 HIGHLAND BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1130
	Group Practice or individual's line 2 address
City	BOZEMAN
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	597156900
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	270057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BOZEMAN HEALTH DEACONESS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M