Physician Compare National (NPI:1871518597)

HEALTHCARE PROVIDER: JAMES BERNARD HALL 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	1871518597
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729061346
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170111002043
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HALL
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	B
	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 MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	800 3RD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	KENTWOOD
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	704442746
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250097
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTHWEST MS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250084
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERIT HEALTH NATCHEZ
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	251327
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COPIAH COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	251330
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	FRANKLIN COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1871518597)

HEALTHCARE PROVIDER: JAMES BERNARD HALL M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information