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Physician Compare National (NPI:1407874027)

HEALTHCARE PROVIDER: JACK DAULTON BISSETT 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 1407874027
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4880690619
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101217000672
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BISSETT
Individual professional last name
Provider First Name JACK
Individual professional first name
Provider Middle Name D
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty INFECTIOUS DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 711 W 38TH ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE C8
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 787051137
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450056
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SETON MEDICAL CENTER AUSTIN
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450718
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ROUND ROCK MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 450809
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 NORTH AUSTIN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 450431
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ST DAVID'S MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 450713
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 ST DAVID'S SOUTH AUSTIN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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