Individual provider Active NPI

Glenn Hudson Beard, MD

  • Infectious Disease Physician
  • Abilene, TX
National Provider Identifier
1235698614
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
V0345 Issued in TX
Practice address
1904 Pine St Ste 200
Abilene, TX 79601-2450
Phone
(325) 670-5570
Fax
(833) 437-1262
NPI assigned
Mar 15, 2019
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Infectious Disease Physician 207RI0200X V0345 TX Primary

Addresses

Primary practice location

1904 Pine St Ste 200
Abilene, TX 79601-2450

Mailing address

1904 Pine St Ste 200
Abilene, TX 79601-2450
Phone (325) 670-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240611002916 TX Practitioner - Infectious Disease 5799227302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1904 Pine St
Suite 200
Abilene, TX 79601-2450
Phone (325) 670-4220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0345TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jul 1, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Jul 1, 2024 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1904 Pine St
Ste 200
Abilene, TX 79601
Phone (325) 670-4220

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

Interoperability endpoints

  • Direct secure messaging: glenn.beard.1@21794.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1235698614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-5570",
            "fax_number": "833-437-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-5570",
            "fax_number": "833-437-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "GLENN",
        "middle_name": "HUDSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "V0345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.