Physician Compare National (NPI:1902869548)

HEALTHCARE PROVIDER: BRUCE JONES 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	1902869548
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759343841
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041101000668
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JONES
	Individual professional last name
Provider First Name	BRUCE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
	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	8729992318
	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	944
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1120 E WAR MEMORIAL DR
	Group Practice or individual's line 1 address
City	PEORIA
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	616167757
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3096854411
	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	140209
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST MEDICAL CENTER OF ILLINOIS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140280
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TRINITY - ROCK ISLAND
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y