Physician Compare National (NPI:1235533647)

HEALTHCARE PROVIDER: JAMES RUSSELL ALLGOOD

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

Individual Professional Information
NPI	1235533647
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062797723
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170830000904
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALLGOOD
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	RUSSELL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5145 RANCH RD 620
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE F 130
	Group Practice or individual's line 2 address
City	AUSTIN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787321815
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M