Physician Compare National (NPI:1518968726)

HEALTHCARE PROVIDER: CHARLES RICHARD NORRIS JR. 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	1518968726
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527106806
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091105000631
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NORRIS
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1499 W PALMETTO PARK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 216
	Group Practice or individual's line 2 address
City	BOCA RATON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334863322
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y