Physician Compare National (NPI:1831551555)

HEALTHCARE PROVIDER: BRYAN F GUIGNON DPM

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

Individual Professional Information
NPI	1831551555
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769775089
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190604000911
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUIGNON
	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	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ADVANCED ANKLE AND FOOT SURGEONS, LLC
	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	2769530740
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4600 MEMORIAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 80
	Group Practice or individual's line 2 address
City	BELLEVILLE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	622265359
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6182770001
	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	140187
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HSHS ST ELIZABETH'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140307
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METRO-EAST SERVICES INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140185
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y