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Physician Compare National (NPI:1598205320)

HEALTHCARE PROVIDER: BROOKE E HOLDEN APN

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

Individual Professional Information

NPI 1598205320
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7618252032
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20170328000862
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ECHOLS
Individual professional last name
Provider First Name BROOKE
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2016
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NATIONAL PARK GI SERVICES LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 7618267535
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 124 SAWTOOTH OAK ST
Group Practice or individual's line 1 address
City HOT SPRINGS
Group Practice or individual's city
State AR
Group Practice or individual's state
Zip Code 719017160
Group Practice or individual's zip code (9 digits when available)
Phone Number 5016237800
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

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