NPIMap

Individual provider Active NPI

Brandon Gregory Glover, MD

  • Family Medicine Physician
  • Franklin, WV
National Provider Identifier
1124604129
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32709 Issued in WV
Practice address
82 Pine St
Franklin, WV 26807-6630
Phone
(304) 358-2355
Fax
(855) 332-1388
NPI assigned
Mar 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32709 WV Primary

Addresses

Primary practice location

82 Pine St
Franklin, WV 26807-6630

Mailing address

82 Pine St
Franklin, WV 26807-6630
Phone (304) 358-2355

Other practice location 1

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 598-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718003191 WV Practitioner - Family Practice 6709322472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Pendleton Community Care IncGroup PAC ID 3678470614, 11 clinicians

Practice addresses (Care Compare)

PO Box
Suite 100
Franklin, WV 26807

Hospital & facility affiliations

  • Pendleton Home Health Services Home health agency, Franklin, WV, CCN 517045
  • Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32709WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pendleton Community Care Inc CurrentSince Apr 19, 2024 Accepting new patients
Pendleton Community Care Inc CurrentSince Apr 19, 2024 Accepting new patients
Pendleton Community Care, Inc. Current Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients
Pendleton Community Care Inc Past Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients

Locations

15 Mott St
Harman, WV 26270
Phone (304) 227-4134

Interoperability endpoints

  • Direct secure messaging: brandon.glover.1@6719.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1124604129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PINE ST",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268076630",
            "telephone_number": "304-358-2355",
            "fax_number": "855-332-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PINE ST",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268076630",
            "telephone_number": "304-358-2355",
            "fax_number": "855-332-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 University Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265012421",
            "country_code": "US",
            "telephone_number": "304-598-6900",
            "fax_number": "304-285-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "BRANDON",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "32709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

Verify at the official NPI Registry.