Physician Compare National (NPI:1750831632)

HEALTHCARE PROVIDER: JOSEPH BRETSCHNEIDER PA-C

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

Individual Professional Information
NPI	1750831632
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749560613
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161212000344
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRETSCHNEIDER
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SANFORD HEALTH NETWORK
	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	6800707100
	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	209
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	249 5TH ST S
	Group Practice or individual's line 1 address
Line 2 Street Address	SANFORD CLINIC TRACY
	Group Practice or individual's line 2 address
City	TRACY
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	561751105
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5076293520
	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	241303
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SANFORD TRACY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y