David Locke Glenn Jr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

24763 Issued in NC

Practice address

260 Hospital Dr
Brevard, NC 28712-3378

Phone

(828) 883-5330

Fax

(828) 883-5242

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

General SurgeryAlso: Emergency Medicine

Education

Medical University of South Carolina College of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alleghany Emergency Group LLCGroup PAC ID 0547432890, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alleghany Memorial Hospital Hospital, Sparta, NC, CCN 341320

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: dglenn2792829@carolinashealthcaresystem.direct-ci.com

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.

• Alleghany Emergency Group LLC

  • Emergency Medicine Physician
  • Sparta, NC
  • NPI 1477840791
  Medicare reassignment Care Compare group NPD
• Sylva Emergency Group LLC

  • Emergency Medicine Physician
  • Sylva, NC
  • NPI 1669808143
  Medicare reassignment NPD
• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  Medicare reassignment NPD
• Carolina Vascular Laboratory

  • Physiological Laboratory
  • Hendersonville, NC
  • NPI 1265538342
  NPD (past) Authorized official
• Hendersonville Surgical Associates, PLLC

  • Emergency Medicine Physician
  • Hendersonville, NC
  • NPI 1063450088
  NPD (past)

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

• Alleghany County Memorial Hospital Inc

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1356318968
  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1114926557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123378",
            "telephone_number": "828-883-5330",
            "fax_number": "828-883-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123378",
            "telephone_number": "828-883-5330",
            "fax_number": "828-883-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "DAVID",
        "middle_name": "LOCKE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "24763",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "24763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Freudenberg
• Elizabeth Reames Galloway
• Amy Flanagan Geddes, OT
• Robert Miller Geist IV, MD
• Kevin George II, LCMHC, NCC
• Pauline Goodfellow, LCSW
• Gordon Family Pharmacy Inc
• William Jeffrey Gordon
• Betty Dean Gosnell
• Angus Woodward Graham III, MD

• Emergency Medicine Physician in Brevard, NC
• Providers in Brevard, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.