Physician Compare National (NPI:1659761625)

HEALTHCARE PROVIDER: BRANDI BUCHANAN PHD

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

Individual Professional Information
NPI	1659761625
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820316862
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150423000448
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUCHANAN
	Individual professional last name
Provider First Name	BRANDI
	Individual professional first name
Provider Middle Name	M
	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	2014
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4215 JOE RAMSEY BLVD E
	Group Practice or individual's line 1 address
Line 2 Street Address	HUNT REGIONAL MEDICAL CENTER
	Group Practice or individual's line 2 address
City	GREENVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	754017852
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450352
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HUNT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y