Physician Compare National (NPI:1881789063)

HEALTHCARE PROVIDER: BERNICE RENEE SWAIN DO

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

Individual Professional Information
NPI	1881789063
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709919350
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100803000270
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SWAIN
	Individual professional last name
Provider First Name	BERNICE
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1988
	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
Line 1 Street Address	2424 DANVILLE RD SW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE L
	Group Practice or individual's line 2 address
City	DECATUR
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	356034219
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010085
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DECATUR MORGAN HOSPITAL - DECATUR CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010059
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAWRENCE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y