Physician Compare National (NPI:1730146150)

HEALTHCARE PROVIDER: BRIAN E MUSSETT DPM

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

Individual Professional Information
NPI	1730146150
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082791884
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080403000207
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUSSETT
	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	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3737 W 26TH ST
	Group Practice or individual's line 1 address
City	ERIE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	165062038
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT VINCENT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390146
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WARREN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y