Physician Compare National (NPI:1235279043)

HEALTHCARE PROVIDER: NANCY BRILEY WALKER 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	1235279043
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688773047
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070626000267
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WALKER
	Individual professional last name
Provider First Name	NANCY
	Individual professional first name
Provider Middle Name	BRILEY
	Individual professional middle name
Provider Gender	F
	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	2004
	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	CROWLEY PRIMARY CARE 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	8527289974
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1325 WRIGHT AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	CROWLEY
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705262226
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3377834043
	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	190044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ACADIA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190053
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JENNINGS AMERICAN LEGION HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	190102
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y