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Physician Compare National (NPI:1811083009)

HEALTHCARE PROVIDER: BEDRIYE Y TOMBULOGLU 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 1811083009
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0143494401
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20111122000837
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TOMBULOGLU
Individual professional last name
Provider First Name BEDRIYE
Individual professional first name
Provider Middle Name MD
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1968
Individual professional's medical school graduation year
Primary Specialty GENERAL PRACTICE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4325 S 60TH ST
Group Practice or individual's line 1 address
City GREENFIELD
Group Practice or individual's city
State WI
Group Practice or individual's state
Zip Code 532203508
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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