Physician Compare National (NPI:1669728895)

HEALTHCARE PROVIDER: SRAVAN KUMAR REDDY BEZWADA 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	1669728895
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062725021
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150720002140
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REDDY BEZWADA
	Individual professional last name
Provider First Name	SRAVAN
	Individual professional first name
Provider Middle Name	KUMAR
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	APOGEE MEDICAL GROUP ALABAMA INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5395764419
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	105 US HWY 80 E
	Group Practice or individual's line 1 address
City	DEMOPOLIS
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	367323605
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3342894000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARRISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TANNER MEDICAL CENTER - CARROLLTON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110015
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TANNER MEDICAL CENTER VILLA RICA
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010112
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BRYAN W. WHITFIELD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M