Physician Compare National (NPI:1679612675)

HEALTHCARE PROVIDER: BROOK A. ADAMS 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	1679612675
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769652049
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150928002516
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADAMS
	Individual professional last name
Provider First Name	BROOK
	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 HOUSTON
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7000 BRYANT IRVIN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	FORT WORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761324251
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450137
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450271
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WISE REGIONAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450596
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LAKE GRANBURY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450880
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAYLOR SURGICAL HOSPITAL AT FORT WORTH
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450451
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GLEN ROSE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1679612675)

HEALTHCARE PROVIDER: BROOK A. ADAMS MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information