Physician Compare National (NPI:1871646851)

HEALTHCARE PROVIDER: JAMES JEFFREY DUKE 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	1871646851
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436102761
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050228000311
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DUKE
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	JEFFREY
	Individual professional middle name
Provider Name Suffix Text	SR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	15366 ELEVENTH ST E
	Group Practice or individual's line 1 address
City	VICTORVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	923953726
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7609621884
	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	050300
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050517
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VICTOR VALLEY GLOBAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y