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Physician Compare National (NPI:1770633307)

HEALTHCARE PROVIDER: PHILLIP BRADLEY YUHAS D.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 1770633307
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587603949
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100302000012
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name YUHAS
Individual professional last name
Provider First Name PHILLIP
Individual professional first name
Provider Middle Name BRADLEY
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2000
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1000 E JOHN ROWAN BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 106
Group Practice or individual's line 2 address
City BARDSTOWN
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 400042060
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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