Physician Compare National (NPI:1508145905)

HEALTHCARE PROVIDER: SCOTT BRIAN SAMERA DPM

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

Individual Professional Information
NPI	1508145905
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638342421
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111021000374
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAMERA
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	BRIAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	404 NW HALL OF FAME DR
	Group Practice or individual's line 1 address
City	LAKE CITY
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	320554833
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y