Physician Compare National (NPI:1760894323)

HEALTHCARE PROVIDER: DREW DAVIDSON 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	1760894323
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830487404
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170519000475
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAVIDSON
	Individual professional last name
Provider First Name	DREW
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
	Individual professional's medical school
Graduation Year	2014
	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	255 SW BROOKSIDE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	200 PREMIER FOOTANDANKLE SURGEONS OF IA
	Group Practice or individual's line 2 address
City	GRIMES
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	501115244
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y