Physician Compare National (NPI:1528018769)

HEALTHCARE PROVIDER: GREGORY J MOORMAN 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	1528018769
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981794708
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071218000029
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOORMAN
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	118 A ESTATE MT WELCOME
	Group Practice or individual's line 1 address
City	CHRISTIANSTED
	Group Practice or individual's city
State	VI
	Group Practice or individual's state
Zip Code	00820
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	480002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOV JUAN F LUIS HOSPITAL & MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y