Physician Compare National (NPI:1538271465)

HEALTHCARE PROVIDER: SCOTT W BURK 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	1538271465
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870588270
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040415001214
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURK
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	401 15TH AVE S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	GREAT FALLS
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	594054334
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4067272121
	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	270012
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BENEFIS HOSPITALS INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	270086
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GREAT FALLS CLINIC HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	271304
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MISSOURI RIVER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	270032
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTHERN MONTANA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	271334
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	LIBERTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1538271465)

HEALTHCARE PROVIDER: SCOTT W BURK MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information