Physician Compare National (NPI:1356320147)

HEALTHCARE PROVIDER: ROBERT REAGAN MCLEROY MD

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

Individual Professional Information
NPI	1356320147
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345365862
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100921000271
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCLEROY
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	RAEGAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	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
Line 1 Street Address	1625 N GRAND AVE
	Group Practice or individual's line 1 address
City	GAINESVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762402343
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450090
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450324
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXOMA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450634
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY DENTON
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y