Physician Compare National (NPI:1093771545)

HEALTHCARE PROVIDER: DEARL V BIRDSONG JR. M.D.

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

Individual Professional Information
NPI	1093771545
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507819380
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091202000191
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BIRDSONG
	Individual professional last name
Provider First Name	DEARL
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP 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	7012219306
	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	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	58 BIG A RD
	Group Practice or individual's line 1 address
City	TOCCOA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	305776017
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7062825845
	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	110032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STEPHENS COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y