Physician Compare National (NPI:1750364006)

HEALTHCARE PROVIDER: WILLIAM F. BRIGHAM OD

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

Individual Professional Information
NPI	1750364006
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618044611
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080917000142
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRIGHAM
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	902 W WAYNE ST
	Group Practice or individual's line 1 address
City	FORT WAYNE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	468023976
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y