Physician Compare National (NPI:1538653167)

HEALTHCARE PROVIDER: BEAU JOSEPH RHODES DC

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

Individual Professional Information
NPI	1538653167
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355778606
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200226000102
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RHODES
	Individual professional last name
Provider First Name	BEAU
	Individual professional first 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	2017
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8499 OLD REDWOOD HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 204
	Group Practice or individual's line 2 address
City	WINDSOR
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	954928058
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7078388400
	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	M