Physician Compare National (NPI:1134138191)

HEALTHCARE PROVIDER: DAN HOWARD HUDSON 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	1134138191
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901946383
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150904001445
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUDSON
	Individual professional last name
Provider First Name	DAN
	Individual professional first name
Provider Middle Name	HOWARD
	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 ALABAMA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HENDERSON AND WALTON WOMENS CENTER PC
	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	9133152697
	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	14
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	806 SAINT VINCENTS DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 500
	Group Practice or individual's line 2 address
City	BIRMINGHAM
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	352051616
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2059301819
	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	010056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S BIRMINGHAM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y