Physician Compare National (NPI:1790984540)

HEALTHCARE PROVIDER: BRYAN T MCCONNELL DO

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

Individual Professional Information
NPI	1790984540
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214912328
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100604000278
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCONNELL
	Individual professional last name
Provider First Name	BRYAN
	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	ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	HOSPITALIST
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	OSTEOPATHIC MANIPULATIVE MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	PAIN MANAGEMENT
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE, HOSPITALIST, OSTEOPATHIC MANIPULATIVE MEDICINE, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3280 S CAMINO DEL SOL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 124
	Group Practice or individual's line 2 address
City	GREEN VALLEY
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	856224648
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M