Bryan R Glick, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005257 Issued in AZ

Practice address

7659 E Pinnacle Peak Rd
Suite 105
Scottsdale, AZ 85255-6297

Phone

(480) 222-4600

Fax

(480) 222-4619

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

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

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aspen Rae LLCGroup PAC ID 2062548472, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24665/brand/1/csg/1/fhir/r4
• Direct secure messaging: bryan.glick.1@24665.direct.athenahealth.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.

• Aspen Rae LLC

  • Rehabilitation Chiropractor
  • Peoria, AZ
  • NPI 1659694156
  Medicare reassignment Care Compare group NPD
• Glick Medical Group, PLLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1285305144
  Medicare reassignment NPD
• Elevate Health Az, PLLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1588008759
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1164620308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 E PINNACLE PEAK RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556297",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 E PINNACLE PEAK RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556297",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "BRYAN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Glenn, NMD
• Robert Glenn, PA
• Tyler J Glenn, M.D.
• Paula Louise Glessner-Vallee, DNP, WHNP-BC
• Glick Medical Group, PLLC
• Claudia Rose Glickman, M.S.
• Michele Gliniecki, N.M.D.
• Global Holdings Treatment Center, LLC
• Global Internal Medicine Associates LLC
• Global Medflight LLC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.