Beneranda Sophia Ford-Glanton, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036119047 Issued in IL

Practice address

301 W Lincoln St Ste 201
Belleville, IL 62220-1901

Phone

(618) 641-5803

Fax

(618) 641-5813

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Centerpoint Medical Specialists LLC

  • Urology Physician
  • Blue Springs, MO
  • NPI 1538486816
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1124229901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WEST LINCOLN STREET",
            "address_2": "SUITE 201",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62220",
            "telephone_number": "618-641-5803",
            "fax_number": "618-641-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN ST STE 201",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201901",
            "telephone_number": "618-641-5803",
            "fax_number": "618-641-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD-GLANTON",
        "first_name": "BENERANDA",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036119047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Fleming, PT
• Teri Lynn Fleming, D.C.
• Tiffany Flowers, PT
• Foot Surgery Center LLC
• Footbridge Counseling and Supervision
• Rodney Dean Ford Jr., ATC
• Forrest and Associates PLLC
• Four Fountains Convalescent Center
• Kathleen K Fournier, MD
• Milana Nichelle Foxworth

• Urology Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.