Physician Compare National (NPI:1629393707)

HEALTHCARE PROVIDER: AARON M BRINSTER D.D.S. 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	1629393707
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335417369
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170616000164
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRINSTER
	Individual professional last name
Provider First Name	AARON
	Individual professional first name
Provider Middle Name	MATTHEW
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	876 STEWART RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	MONROE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481625345
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360112
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY ST VINCENT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y