Physician Compare National (NPI:1982689949)

HEALTHCARE PROVIDER: BRIAN PRZYSTAWSKI DPM, PSC

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

Individual Professional Information
NPI	1982689949
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234113325
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040616000572
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRZYSTAWSKI
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	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	TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BRIAN T PRZYSTAWSKI, DPM, PCS
	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	4880678978
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3020 CHARLESTOWN XING
	Group Practice or individual's line 1 address
City	NEW ALBANY
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	471509380
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8129480211
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y