Physician Compare National (NPI:1821016478)

HEALTHCARE PROVIDER: BRAD BERNSTEIN 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	1821016478
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173420080
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111221000357
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERNSTEIN
	Individual professional last name
Provider First Name	BRAD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SPECIALISTS IN ANESTHESIA PC
	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	2567369473
	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	10
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5900 BOND AVE
	Group Practice or individual's line 1 address
City	CENTREVILLE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	622072326
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6183325480
	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	260210
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ALEXIUS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y