Physician Compare National (NPI:1043248701)

HEALTHCARE PROVIDER: JEFFERY DAVID BARLOW DNP, APRN

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

Individual Professional Information
NPI	1043248701
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123259256
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140402001690
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARLOW
	Individual professional last name
Provider First Name	JEFFERY
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GDN LLC
	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	7810236007
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1315 CHISHOLM TRAIL PKWY
	Group Practice or individual's line 1 address
City	DUNCAN
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	735331544
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5806066852
	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	371325
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CORDELL MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y