Physician Compare National (NPI:1679861256)

HEALTHCARE PROVIDER: BRIAN EUGENE PRATT 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	1679861256
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537301254
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150302001036
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRATT
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Middle Name	E
	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	1998
	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	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EAST TENNESSEE ADDICTION SPECIALISTS
	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	6507292067
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2022 CHILHOWEE MEDICAL PARK
	Group Practice or individual's line 1 address
City	MARYVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	378045285
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8654062715
	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	111336
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNTAIN LAKES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110041
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HABERSHAM COUNTY MEDICAL CTR
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	341326
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ANGEL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y