Physician Compare National (NPI:1770794331)

HEALTHCARE PROVIDER: OSCAR J. BRISENO JR. MD

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

Individual Professional Information
NPI	1770794331
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507910148
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090818000069
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRISENO
	Individual professional last name
Provider First Name	OSCAR
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	2002
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PUBLIC HOSPITAL DIST NO 1 SKAGIT
	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	6800793522
	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	2511 M AVE D
	Group Practice or individual's line 1 address
Line 2 Street Address	SKAGIT REGIONAL CLINICS
	Group Practice or individual's line 2 address
City	ANACORTES
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	982213897
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3602930308
	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	500003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SKAGIT VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500060
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CASCADE VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	500007
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ISLAND HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	501339
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WHIDBEYHEALTH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y