NPIMap

Individual provider Active NPI

Alan Usher Glazer, M.D.

  • Diagnostic Radiology Physician
  • Wynnewood, PA
National Provider Identifier
1194714931
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD034218E Issued in PA
Practice address
400 Ballytore Rd
Wynnewood, PA 19096-2318
Phone
(610) 649-0204
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD034218E PA
Diagnostic Radiology Physician 2085R0202X MD034218E PA Primary

Addresses

Primary practice location

400 Ballytore Rd
Wynnewood, PA 19096-2318

Mailing address

400 Ballytore Rd
Wynnewood, PA 19096-2318
Phone (610) 649-0204

Other names 1

  • Dr. Alan U Glazer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031222000349 PA Practitioner - Diagnostic Radiology 0547168015 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034218EPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greentree Radiology Associates PC Diagnostic Radiology Past Accepting new patients
GLTT Diagnostics LLC Diagnostic Radiology PastSince Oct 10, 2021 Accepting new patients
PA Open MRI-Harrisburg, PC Diagnostic Radiology Past Accepting new patients
Open Mr Inc. Diagnostic Radiology Past Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients
Broomall Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Insight Health Corp PastSince May 19, 2019 Accepting new patients
Pennsylvania Open MRI of Harrisburg, Inc. Diagnostic Radiology Past Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1194714931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALLYTORE RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962318",
            "telephone_number": "610-649-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALLYTORE RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962318",
            "telephone_number": "610-649-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "ALAN",
        "middle_name": "USHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD034218E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD034218E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "GLAZER",
            "middle_name": "U",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.