Physician Compare National (NPI:1871905810)

HEALTHCARE PROVIDER: AARON BRODSKY HEATH D.O.

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

Individual Professional Information
NPI	1871905810
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779874623
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160816000844
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEATH
	Individual professional last name
Provider First Name	AARON
	Individual professional first name
Provider Middle Name	BRODSKY
	Individual professional middle 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	2011
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CARROLL ARTHRITIS 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	6406289586
	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	412 MALCOLM DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 306
	Group Practice or individual's line 2 address
City	WESTMINSTER
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	211576167
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4108480364
	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	390233
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HANOVER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y