| Column Name | Type | Length | Nullable | Description | Relationships | |
| Identity | ID | int identity | No | |||
| Provider | varchar | 4 | Yes | |||
| Description | varchar | 30 | Yes | |||
| LastName | varchar | 15 | Yes | |||
| FirstName | varchar | 10 | Yes | |||
| Title | varchar | 30 | Yes | |||
| ADDRESS1 | varchar | 40 | Yes | |||
| ADDRESS2 | varchar | 40 | Yes | |||
| CITY | varchar | 20 | Yes | |||
| STATE | varchar | 2 | Yes | |||
| ZIPCODE | varchar | 5 | Yes | |||
| PHONE1 | varchar | 13 | Yes | |||
| EXT1 | varchar | 4 | Yes | |||
| PHONE2 | varchar | 13 | Yes | |||
| EXT2 | varchar | 4 | Yes | |||
| NOTE | varchar | 60 | Yes | |||
| NPI | varchar | 12 | Yes | |||
| PROVTYPE | varchar | 1 | Yes | |||
| SERVTYPE | varchar | 1 | Yes | |||
| DROPRATE | money | Yes | ||||
| SERVAREA | varchar | 10 | Yes | |||
| RATEPERHR | money | Yes | ||||
| RATEPERMIL | money | Yes | ||||
| Postcode | varchar | 8 | Yes | |||
| FEDTAXID | varchar | 9 | Yes | |||
| OTHERID | varchar | 12 | Yes | |||
| FAXNO | varchar | 13 | Yes | |||
| CATEGORY | varchar | 4 | Yes | |||
| TAG | varchar | 1 | Yes | |||
| varchar | 50 | Yes | ||||
| AllowWebVerification | bit | Yes | ||||
| Medcode | bit | Yes | ||||
| Timestamp | datetime | Yes |
| Index Name | Index Description | Index Keys |
| PK_Providers | clustered, unique, primary key located on PRIMARY | ID |
| U_Provider | nonclustered, unique located on PRIMARY | Provider |