Active NPI
Harold Bruce Glickman, DPM
- Podiatrist
- Washington, DC
National Provider Identifier
1053417451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P0265
- Practice address
- 5513 Connecticut Ave NW
Suite 210
Washington, DC 20015-2647 - Phone
- (202) 833-9797
- Fax
- (202) 833-9799
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P0265 | DC | Primary |
| Podiatrist | 213E00000X | 00324 | MD |
Addresses
Primary practice location
5513 Connecticut Ave NW
Suite 210
Washington, DC 20015-2647
Mailing address
5513 Connecticut Ave NW
Suite 210
Washington, DC 20015-2647
Phone (202) 833-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406480171 | Other | DC | RR MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00324 | MD | MD | Podiatrist |
Interoperability endpoints
- hglickman19618@gwmfa.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1053417451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5513 CONNECTICUT AVE NW",
"address_2": "SUITE 210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152647",
"telephone_number": "202-833-9797",
"fax_number": "202-833-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5513 CONNECTICUT AVE NW",
"address_2": "SUITE 210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152647",
"telephone_number": "202-833-9797",
"fax_number": "202-833-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "HAROLD",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DC",
"license": "P0265",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "00324",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE #",
"identifier": "406480171",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.