Physician Compare National (NPI:1821052754)

HEALTHCARE PROVIDER: BRYAN ANTHONY LEBEAN SR. M.D.

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

Individual Professional Information
NPI	1821052754
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709956691
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080604000302
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEBEAN
	Individual professional last name
Provider First Name	BRYAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2930 MOSS ST B
	Group Practice or individual's line 1 address
City	LAFAYETTE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705011274
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	191302
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARTIN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y