Physician Compare National (NPI:1992808232)

HEALTHCARE PROVIDER: GARY MCCORD 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	1992808232
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678768009
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101111000599
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCORD
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1101 WOODSON DR
	Group Practice or individual's line 1 address
City	CALDWELL
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	778361052
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9795672217
	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	451305
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI ST JOSEPH HEALTH BURLESON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI ST JOSEPH HEALTH
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y