Physician Compare National (NPI:1952468290)

HEALTHCARE PROVIDER: BOHN MARSHALL YOUNG DPM

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

Individual Professional Information
NPI	1952468290
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850422692
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100623000448
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOUNG
	Individual professional last name
Provider First Name	BOHN
	Individual professional first name
Provider Middle Name	MARSHALL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	103 S PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	BROWNWOOD
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	768015905
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450229
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENDRICK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450587
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BROWNWOOD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451348
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HEART OF TEXAS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451382
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMANCHE COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y