David Glickman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS1485 Issued in FL

Practice address

2100 E Hallandale Beach Blvd Ste 202
Hallandale Beach, FL 33009-3770

Phone

(954) 239-0578

NPI assigned

Jul 5, 2006

Last updated

Apr 27, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4307/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Mobile Health Solutions, LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1871866616
  NPD
• California Club Medical Center LLC

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1538106919
  NPD (past)
• Metropolitan Health Networks LT Blue Zone

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1629065941
  NPD (past)
• Patient First Medical Center, Inc.

  • Clinic/Center
  • Hallandale Beach, FL
  • NPI 1679712517
  NPD (past)
• Qualcare Medical Centers LLC

  dba California Club Medical Center

  • Family Medicine Physician
  • Miami, FL
  • NPI 1770872566
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1194756627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093770",
            "telephone_number": "954-239-0578",
            "fax_number": "954-239-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093770",
            "telephone_number": "954-239-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 NE 125th St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "fax_number": "305-503-7363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS1485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101052900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James M Gillis, RPH, CPH
• Robert Douglas Gillis, R.PH.
• Ira Ginsberg, DDS
• Cara Miranda Giusti, DPT
• Daphne Gleit, M.D.
• Golden Smile Adult Day Care,LLC
• Golden Touch Companion Corp.
• Janna Goldfeld, P.A.
• Ira Goldman, DMD
• Becky Goldringer

• Family Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.