Physician Compare National (NPI:1134160039)

HEALTHCARE PROVIDER: HUNTER B NELSON 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	1134160039
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002728516
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100308000063
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NELSON
	Individual professional last name
Provider First Name	HUNTER
	Individual professional first name
Provider Middle Name	B
	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 ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1970 HOSPITAL DR
	Group Practice or individual's line 1 address
City	CLARKSDALE
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	386147202
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250042
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST MISSISSIPPI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST HEALTHCARE MEMPHIS HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250034
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAPTIST MEMORIAL HOSPITAL NORTH MS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	250141
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAPTIST MEMORIAL HOSPITAL DESOTO
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	250093
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BOLIVAR MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1134160039)

HEALTHCARE PROVIDER: HUNTER B NELSON JR. M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information