Physician Compare National (NPI:1720021884)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1720021884
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597800516
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110405000916
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOBLAR
	Individual professional last name
Provider First Name	DENNIS
	Individual professional first name
Provider Middle Name	DELMAR
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	395 NORTHWOOD DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE D
	Group Practice or individual's line 2 address
City	CENTRE
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	359601033
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y