Physician Compare National (NPI:1629163134)

HEALTHCARE PROVIDER: BARRY MATTHEW ALTENBERG 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	1629163134
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800787805
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091028000150
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALTENBERG
	Individual professional last name
Provider First Name	BARRY
	Individual professional first name
Provider Middle Name	M
	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	OTHER
	Individual professional's medical school
Graduation Year	1963
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1925 ASPEN DR
	Group Practice or individual's line 1 address
Line 2 Street Address	901B
	Group Practice or individual's line 2 address
City	SANTA FE
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	875055569
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5056900794
	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