Physician Compare National (NPI:1811003031)

HEALTHCARE PROVIDER: LUCAS BRINKMAN 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	1811003031
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446341887
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070814000431
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRINKMAN
	Individual professional last name
Provider First Name	LUCAS
	Individual professional first name
Provider Middle Name	J
	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 PHYSICIANS AND SURGEONS (IOWA)
	Individual professional's medical school
Graduation Year	2006
	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	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	115 SCHULT RIDGE RD
	Group Practice or individual's line 1 address
City	FREDERICKSBURG
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	506309582
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	161331
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER-NEW HAMPTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	161320
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COMMUNITY MEMORIAL HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	161316
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	160110
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ALLEN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y