Physician Compare National (NPI:1659471100)

HEALTHCARE PROVIDER: PATRICK NEAL KIMBRELL 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	1659471100
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991602245
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100729000132
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KIMBRELL
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	UNDERSEA AND HYPERBARIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	UNDERSEA AND HYPERBARIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1305 WONDER WORLD DR
	Group Practice or individual's line 1 address
Line 2 Street Address	101 CTMC
	Group Practice or individual's line 2 address
City	SAN MARCOS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	786667533
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450272
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTRAL TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y