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Physician Compare National (NPI:1841288420)

HEALTHCARE PROVIDER: DENNIS RICHARD BRIGHTWELL 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 1841288420
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4981615028
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060605000250
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BRIGHTWELL
Individual professional last name
Provider First Name DENNIS
Individual professional first name
Provider Middle Name R
Individual professional middle 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 UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1971
Individual professional's medical school graduation year
Primary Specialty PSYCHIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ROSECRANCE INC
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 3779656582
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 7
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 4501 PRIME PKWY
Group Practice or individual's line 1 address
City MCHENRY
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 600507000
Group Practice or individual's zip code (9 digits when available)
Phone Number 8153636132
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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