Physician Compare National (NPI:1932307766)

HEALTHCARE PROVIDER: TRUNG HIEU NGUYEN 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	1932307766
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224152541
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200514000069
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGUYEN
	Individual professional last name
Provider First Name	TRUNG
	Individual professional first name
Provider Middle Name	HIEU
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	701 E LOOP
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 281
	Group Practice or individual's line 2 address
City	LONGVIEW
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	756055006
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SHEPHERD MEDICAL CENTER MARSHALL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450702
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LONGVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y