Physician Compare National (NPI:1497817696)

HEALTHCARE PROVIDER: BERNARD RENE ALTER MD

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

Individual Professional Information
NPI	1497817696
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466634423
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110311000399
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALTER
	Individual professional last name
Provider First Name	BERNARD
	Individual professional first name
Provider Middle Name	R
	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	1978
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	127 WOLF AVE
	Group Practice or individual's line 1 address
City	MALVERNE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115651523
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5166598776
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y