Physician Compare National (NPI:1912392184)

HEALTHCARE PROVIDER: ASHLEY BROWN 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	1912392184
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648604470
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200110001241
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROWN
	Individual professional last name
Provider First Name	ASHLEY
	Individual professional first name
Provider Middle Name	DAWN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GREAT PLAINS WOMEN'S HEALTH CENTER PC
	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	3476557984
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1700 11TH ST W
	Group Practice or individual's line 1 address
City	WILLISTON
	Group Practice or individual's city
State	ND
	Group Practice or individual's state
Zip Code	588014500
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7017747687
	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	351334
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI ST ALEXIUS HEALTH WILLISTON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y