Physician Compare National (NPI:1639517089)

HEALTHCARE PROVIDER: PATRICK SHAUN BARRY D.C.

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

Individual Professional Information
NPI	1639517089
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628204468
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131126001083
	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	PATRICK
	Individual professional first name
Provider Middle Name	SHAUN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1703 FOREST HILLS BLVD
	Group Practice or individual's line 1 address
City	BELLA VISTA
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727152340
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y