Physician Compare National (NPI:1104813971)

HEALTHCARE PROVIDER: HARRY A BURGLASS JR. 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	1104813971
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052322310
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080716000174
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURGLASS
	Individual professional last name
Provider First Name	HARRY
	Individual professional first name
Provider Middle Name	A
	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.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION
	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	6103856661
	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	10
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5000 ODONAVAN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 315
	Group Practice or individual's line 2 address
City	WALKER
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	707856355
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2257697546
	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