Bryan H. Glenn, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

AR175 Issued in AR

Practice address

700 W Kingshighway Ste a
Paragould, AR 72450-5929

Phone

(870) 239-6004

Fax

(870) 972-8603

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837

  Hospital

  Care Compare affiliation

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piggott Community Hospital Hospital, Piggott, AR, CCN 041330

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2008.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1487733259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W KINGSHIGHWAY STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505929",
            "telephone_number": "870-239-6004",
            "fax_number": "870-972-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W KINGSHIGHWAY STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505929",
            "telephone_number": "870-239-6004",
            "fax_number": "870-972-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "BRYAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "AR175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132181717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony Gillis
• Megan Gillmore
• Lisa Lynn Gipson, B.S. M.H.S.
• Sheila Gladney
• Jamie Gleghorn
• Sydney Lane Glenn, PT
• Rose L Glynne, MD
• Addison Goans
• Alissa Godwin
• Teresa D. Gonzalez, APRN

• All providers in Paragould, AR
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.