Glenda Jean Peters-DO, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J8713 Issued in TX

Practice address

9900 S Ih 35
Texas Medclinic
Austin, TX 78748-3885

Phone

(512) 291-5577

Fax

(512) 291-5576

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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

• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment Care Compare group NPD
• Bernard T Swift Jr., DO

  • Occupational Medicine Physician
  • San Antonio, TX
  • NPI 1497722235
  Medicare reassignment
• Glenda Jean Peters-DO, M.D., P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1588840029
  NPD (past) Authorized official
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1003271800

  Family Medicine

  NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1033135876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 S IH 35",
            "address_2": "TEXAS MEDCLINIC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483885",
            "telephone_number": "512-291-5577",
            "fax_number": "512-291-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 S IH 35",
            "address_2": "TEXAS MEDCLINIC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483885",
            "telephone_number": "512-291-5577",
            "fax_number": "512-291-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS-DO",
        "first_name": "GLENDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "J8713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119812-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "72-1564406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Krumnow Peschke, CRNA
• Elijah Pesudas, LMT
• Peter a. Kangos, MD, PA
• Peter Broberg, MD and Associates, PA
• Molly Peter, PHD
• Brian Jay Peters, D.M.D.
• Brianne Lynn Peters
• Carol L Peters, MD
• Crystal Renee' Peters, DDS
• Edward John Peters, M.D.

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.