Physician Compare National (NPI:1609974294)

HEALTHCARE PROVIDER: TRICIA BIRDWELL M.D.

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

Individual Professional Information
NPI	1609974294
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961597679
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070926000697
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BIRDWELL
	Individual professional last name
Provider First Name	TRICIA
	Individual professional first name
Provider Middle Name	A
	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	2001
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1521 N SCHNOOR ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	MADERA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	936373602
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050568
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MADERA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050093
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT AGNES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y