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Physician Compare National (NPI:1265461792)

HEALTHCARE PROVIDER: RANDALL DEAN BARNES 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 1265461792
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7113991803
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100318000095
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BARNES
Individual professional last name
Provider First Name RANDALL
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name HOOD MEDICAL GROUP
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 2567446669
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 50
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1318 PALUXY RD
Group Practice or individual's line 1 address
City GRANBURY
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 760485655
Group Practice or individual's zip code (9 digits when available)
Phone Number 8175738805
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 450596
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LAKE GRANBURY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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