Physician Compare National (NPI:1689898819)

HEALTHCARE PROVIDER: JOSHUA LEE DURHAM 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	1689898819
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062698848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110511000609
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DURHAM
	Individual professional last name
Provider First Name	JOSHUA
	Individual professional first name
Provider Middle Name	L
	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 VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BHS PHYSICIANS NETWORK INC
	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	7315019593
	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	463
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	502 MADISON OAK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 346
	Group Practice or individual's line 2 address
City	SAN ANTONIO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	782584084
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2109461400
	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	450058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PETERSON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450388
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670078
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAPTIST EMERGENCY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y