Active NPI
Glenwood C Brooks Jr., PH.D.
- Clinical Neuropsychologist
- Salisbury, MD
National Provider Identifier
1083736052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1317
- Practice address
- 220 Tilghman Rd
Salisbury, MD 21804-1921 - Phone
- (410) 546-4600
- Fax
- (410) 546-8388
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1317 | MD | Primary |
Addresses
Primary practice location
220 Tilghman Rd
Salisbury, MD 21804-1921
Mailing address
220 Tilghman Rd
Salisbury, MD 21804-1921
Phone (410) 546-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091229000307 | MD | Practitioner - Neuropsychiatry | 2860532678 | Practice locations: Salisbury, MD |
| I20170906000040 | MD | Practitioner - Clinical Psychologist | 2860532678 | Practice locations: Salisbury, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
220 Tilghman Rd
Salisbury, MD 21804-1921
Phone (410) 546-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1317 | MD | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083736052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 TILGHMAN RD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041921",
"telephone_number": "410-546-4600",
"fax_number": "410-546-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 TILGHMAN RD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041921",
"telephone_number": "410-546-4600",
"fax_number": "410-546-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "GLENWOOD",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MD",
"license": "1317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.