Physician Compare National (NPI:1871579953)

HEALTHCARE PROVIDER: RONALD S GILBERG 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	1871579953
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820112733
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100830000697
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GILBERG
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	14100 FIVAY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	HUDSON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	346677150
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7278692281
	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	100256
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	REGIONAL MEDICAL CENTER BAYONET POINT
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y