Physician Compare National (NPI:1396819371)

HEALTHCARE PROVIDER: RICHARD LEE KERN JR. 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	1396819371
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365643608
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170822000851
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KERN
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Name Suffix Text	JR.
	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.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS 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	3072853910
	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	4301 MAPLEWOOD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	WICHITA FALLS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	763083879
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9406968500
	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	450010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITED REGIONAL HEALTH CARE SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450085
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRAHAM REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450827
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KELL WEST REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450584
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WILBARGER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y