Physician Compare National (NPI:1174587356)

HEALTHCARE PROVIDER: BURRES W GARRISON III D. O.

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

Individual Professional Information
NPI	1174587356
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426063850
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060207000340
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARRISON
	Individual professional last name
Provider First Name	BURRES
	Individual professional first name
Provider Middle Name	WEST
	Individual professional middle name
Provider Name Suffix Text	III
	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	DO
	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	KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEXTCARE PRIMARY CARE TX PLLC
	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	0840501508
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1634 STATE HWY 351
	Group Practice or individual's line 1 address
City	ABILENE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	796014746
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3256761100
	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