Physician Compare National (NPI:1881699924)

HEALTHCARE PROVIDER: GEORGE BINGHAM BROOKS 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	1881699924
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921011842
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060719000153
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROOKS
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	B
	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	KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COVENANT MEDICAL GROUP 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	2860305463
	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	222
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8707 ASHEVILLE HWY
	Group Practice or individual's line 1 address
City	KNOXVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	379244502
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8659334159
	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	440125
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FORT SANDERS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440056
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	440173
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARKWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y