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Physician Compare National (NPI:1487974127)

HEALTHCARE PROVIDER: STEPHEN JAMES BURROWS LCSW

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

Individual Professional Information

NPI 1487974127
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3779729256
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130430000016
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BURROWS
Individual professional last name
Provider First Name STEPHEN
Individual professional first name
Provider Middle Name JAMES
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 2009
Individual professional's medical school graduation year
Primary Specialty CLINICAL SOCIAL WORKER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name YELLOWSTONE VALLEY BEHAVIORAL HEALTH PC
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 0244558021
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 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 490 N 31ST ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 110
Group Practice or individual's line 2 address
City BILLINGS
Group Practice or individual's city
State MT
Group Practice or individual's state
Zip Code 591011256
Group Practice or individual's zip code (9 digits when available)
Phone Number 4069692273
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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