NPIMap

Individual provider Active NPI

Glenn R Davis, MD

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1003806431
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5503 Issued in TX
Practice address
2255 E Mossy Oaks Rd Ste 680
Spring, TX 77389-1812
Phone
(281) 537-0300
Fax
(281) 537-0315
NPI assigned
Oct 26, 2005
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38899 OK
Internal Medicine Physician 207R00000X K5503 TX Primary
Pediatrics Physician 208000000X K5503 TX

Addresses

Primary practice location

2255 E Mossy Oaks Rd Ste 680
Spring, TX 77389-1812

Mailing address

2255 E Mossy Oaks Rd Ste 680
Spring, TX 77389-1812
Phone (281) 537-0300

Other practice location 1

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Other identifiers 1

IdentifierTypeStateIssuer
110240334OtherTXMEDICARE RAILROAD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101014001418 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8527080936 Reassigns benefits to 3 organizations
I20221031000163 OK Practitioner - Internal Medicine 8527080936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Variety Care, Inc.Group PAC ID 1557260007, 101 clinicians
Cypress Physicians AssociationGroup PAC ID 0446272850, 7 clinicians
Health Hub Physicians IncGroup PAC ID 6709387798, 7 clinicians

Practice addresses (Care Compare)

111 Forest Dr
Eufaula, OK 74432-4010
Phone (800) 640-9741

1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741

201 W 1St St
Grandfield, OK 73546-9236
Phone (405) 632-6688

2255 E Mossy Oaks Rd
Suite 680
Spring, TX 77389-1812
Phone (281) 537-0300

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

602 W Oreilly St
Suite C
Presidio, TX 79845-2055
Phone (432) 289-6356

806 Hwy 2 N
Wilburton, OK 74578-3625
Phone (800) 640-9741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Hub Physicians Inc Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Cypress Physicians Association Internal Medicine CurrentSince Mar 20, 2002 Accepting new patients
Variety Care, Inc CurrentSince Oct 17, 2022 Accepting new patients
Health Hub Physicians Inc Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Marfa Country Clinic, P.a. CurrentSince May 19, 2025 Accepting new patients
Health Box Physicians PC Internal Medicine Current Accepting new patients
Variety Care, Inc. Current Accepting new patients
Marfa Country Clinic, P.a. CurrentSince May 19, 2025 Accepting new patients
Stigler Health and Wellness Center Inc CurrentSince Nov 1, 2022 Accepting new patients
Variety Care, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Health Hub Physicians Inc Internal Medicine Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741

806 Highway 2 N
Wilburton, OK 74578
Phone (918) 465-2391

13215 Dotson Rd
Ste 160
Houston, TX 77070
Phone (281) 537-0300

2450 Holcombe Blvd
Ste 2200
Houston, TX 77021

333 Clay St
Ste 300
Houston, TX 77002
Phone (432) 300-5175

2338 Texas St
Ste 1
Pecos, TX 79772
Phone (432) 302-4061

2255 E Mossy Oaks Rd
Ste 680
Spring, TX 77389
Phone (281) 537-0300

Networks

  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: admin@cypresspa.e-mdsdirect.com
  • Direct secure messaging: gdavis601850@direct.ochin.org
  • Direct secure messaging: gdavis728050@direct.ochin.org
  • Direct secure messaging: glenn.davis.1@19329.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJGACD/Endpoint/BJGACD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bravo Health TerlinguaTerlingua, TX, CCN 678961 Rural health clinic Corporate Officer (33.33%)
Corporate Director (33.33%)
Operational/Managerial Control (50%)		 Feb 15, 2025
Feb 15, 2025
Feb 15, 2025
Bravo Health PresidioPresidio, TX, CCN 678953 Rural health clinic Corporate Officer (33.33%)
Corporate Director (33.33%)
Operational/Managerial Control (50%)		 Feb 15, 2025
Feb 15, 2025
Feb 15, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Health Hub Physicians Inc

    dba Bravo Health Terlingua

    • Rural Health Clinic/Center
    • Terlingua, TX
    • NPI 1457163024

    Corporate Director, Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Health Hub Physicians Inc

    dba Bravo Health Presidio

    • Rural Health Clinic/Center
    • Presidio, TX
    • NPI 1538953864

    Corporate Director, Corporate Officer, Operational/Managerial Control

    CMS ownership

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1003806431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 680",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891812",
            "telephone_number": "281-537-0300",
            "fax_number": "281-537-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 680",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891812",
            "telephone_number": "281-537-0300",
            "fax_number": "281-537-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731071818",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GLENN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "38899",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5503",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K5503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "110240334",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.