Physician Compare National (NPI:1548490923)

HEALTHCARE PROVIDER: ROBERT ALAN HERVEY D.C.

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

Individual Professional Information
NPI	1548490923
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294880415
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090911000105
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERVEY
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2006
	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	302 US HWY 50 W A
	Group Practice or individual's line 1 address
Line 2 Street Address	ACTIVE FAMILY CHIROPRACTIC
	Group Practice or individual's line 2 address
City	UNION
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	630841966
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6367441600
	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