Physician Compare National (NPI:1972728202)

HEALTHCARE PROVIDER: DARYL L HERSHBERGER 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	1972728202
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860301868
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080311000465
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERSHBERGER
	Individual professional last name
Provider First Name	DARYL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	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	2120 N DETROIT ST
	Group Practice or individual's line 1 address
City	LA GRANGE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	467611147
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	151323
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARKVIEW LAGRANGE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230096
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STURGIS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150021
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARKVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y