Physician Compare National (NPI:1548270739)

HEALTHCARE PROVIDER: ROBERT L ULLMAN 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	1548270739
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709980527
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070403000379
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ULLMAN
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6274 LINTON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	DELRAY BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334846508
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100268
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST BOCA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100258
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DELRAY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y