Physician Compare National (NPI:1710981360)

HEALTHCARE PROVIDER: BRAD S SANDLER DO

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

Individual Professional Information
NPI	1710981360
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375698475
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090825000600
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANDLER
	Individual professional last name
Provider First Name	BRAD
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OSTEOPATHIC MANIPULATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	230 E DAY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 180
	Group Practice or individual's line 2 address
City	MISHAWAKA
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	465453463
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150177
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITY MEDICAL AND SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT JOSEPH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150018
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ELKHART GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y