Physician Compare National (NPI:1780691949)

HEALTHCARE PROVIDER: GARY CHARLES PAYNE 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	1780691949
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941390587
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100901000264
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAYNE
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Middle Name	CHARLES
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ILLINOIS MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1975
	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	6700 BEAUFORD DR
	Group Practice or individual's line 1 address
City	AUSTIN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787508124
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5122492253
	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