Physician Compare National (NPI:1821309683)

HEALTHCARE PROVIDER: BRIAN BOONE 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	1821309683
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052545597
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170501000639
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOONE
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTH CAROLINA ENT ALLERGY AND SLEEP MEDICINE PA
	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	0840214748
	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	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	15 EXCHANGE DR
	Group Practice or individual's line 1 address
City	LUGOFF
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	290789198
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8034083277
	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	420070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TUOMEY HEALTHCARE SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420048
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KERSHAWHEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	420018
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PALMETTO HEALTH RICHLAND
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y