Physician Compare National (NPI:1609962208)

HEALTHCARE PROVIDER: BRIAN A BARRY 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	1609962208
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002847530
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080313000635
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARRY
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	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	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BITTERROOT REGIONAL CHIROPRACTIC PLLC
	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	0446335558
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1911 MAIN ST
	Group Practice or individual's line 1 address
City	SALMON
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	834674512
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2087562211
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	131305
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STEELE MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M