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Physician Compare National (NPI:1487708988)

HEALTHCARE PROVIDER: WALTER BRUMMUND M.D.,PHD

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

Individual Professional Information

NPI 1487708988
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3870628449
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100322000375
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BRUMMUND
Individual professional last name
Provider First Name WALTER
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Individual professional's medical school
Graduation Year 1980
Individual professional's medical school graduation year
Primary Specialty ALLERGY/IMMUNOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name ALLERGY AND ASTHMA CENTERS,S.C.
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 9931241460
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 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2500 N MAYFAIR RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 220
Group Practice or individual's line 2 address
City WAUWATOSA
Group Practice or individual's city
State WI
Group Practice or individual's state
Zip Code 532261415
Group Practice or individual's zip code (9 digits when available)
Phone Number 4144759101
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 520136
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WHEATON FRANCISCAN ST JOSEPH
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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