Glioblastoma Foundation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GLIOBLASTOMA FOUNDATION

Practice address

701 W Main St
Durham, NC 27701-5010

Phone

(919) 812-5416

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Gita Kwatra, PHARMAD, MBA

Title

Ceo

Phone

(919) 740-1173

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1437958824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62066",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277152066",
            "telephone_number": "919-402-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277015010",
            "telephone_number": "919-812-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIOBLASTOMA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "KWATRA",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-740-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMAD, MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Morin Glavin, NURSE PRACTITIONER
• Dave Gleason
• Stewart Michael Glenister
• Louise S Glenn, LPC
• Seth W. Glickman
• Jeremy Romek Glissen Brown, M.D.
• Global Counseling Solutions, PLLC
• Global Mental Health and Substance Abuse Agency
• Global Scholars Academy
• Gordon Forrest Glober

• Clinical Medical Laboratory in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.