Glen Allen Bennion, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

T7494 Issued in TX

Practice address

701 W 5TH St
Odessa, TX 79763-4206

Phone

(432) 703-5083

NPI assigned

Apr 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Tech University Health Sciences Center OdessaGroup PAC ID 8426044256, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1407845084

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Midland Community Healthcare Services

  • Federally Qualified Health Center (FQHC)
  • Midland, TX
  • NPI 1235225087
  Medicare reassignment NPD
• Midland Community Healthcare Services

  • Family Medicine Physician
  • Midland, TX
  • NPI 1396142931
  NPD
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  NPD (past)
• Midland County Hospital District

  dba Midland Memorial Hospital

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  NPD (past)

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

• Midland County Hospital District

  dba Midland Memorial Hospital

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1386132876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION",
        "first_name": "GLEN",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T7494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Iridian Benavides
• Sarah Joy Bender, NNP
• Jose Bato Benigno Jr., M.D.
• Benjamin J. Cunningham, M.D., P.a.
• Robert E Bennett Jr., M.D.
• Brandon Benson
• Kevin Benson, M.D.
• Timothy Benton, MD
• Sarah Berdoza, R.D.
• Carol Bergquist, M.D.

• Obstetrics & Gynecology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.