Physician Compare National (NPI:1891093944)

HEALTHCARE PROVIDER: DR. HIEP VAN LE

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

Individual Professional Information
NPI	1891093944
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557519709
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120913000597
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LE
	Individual professional last name
Provider First Name	HIEP
	Individual professional first name
Provider Middle Name	V
	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	2009
	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	12 WESTWOOD MEDICAL PARK
	Group Practice or individual's line 1 address
City	BLUEFIELD
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	246052000
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	510071
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BLUEFIELD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	510046
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PRINCETON COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y