Physician Compare National (NPI:1932303534)

HEALTHCARE PROVIDER: SCOTT ALAN BURLISON 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	1932303534
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608940895
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080806000460
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURLISON
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA
	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	3274524467
	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	41
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3414 GOLDEN RD
	Group Practice or individual's line 1 address
City	TYLER
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	757018336
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9039397500
	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	450864
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450080
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TITUS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450083
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EAST TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451367
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	EAST TEXAS MEDICAL CENTER PITTSBURG
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y