Active NPI
Brian Scott Glaser, PA-C
- Physician Assistant
- Lawrence, MA
National Provider Identifier
1508045097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AP2508
- Practice address
- 1 General St
Lawrence, MA 01841-2961 - Phone
- (978) 683-4000
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AP2508 | MA | Primary |
Addresses
Primary practice location
1 General St
Lawrence, MA 01841-2961
Mailing address
50 Elm St
Andover, MA 01810-3653
Phone (617) 877-4690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2508 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence General Hospital | Current | Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients |
Locations
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
Interoperability endpoints
- bglaser46218@tuftsmedicine.direct-ci.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- Urgent Care Clinic/Center
- Westford, MA
- NPI 1710392683
-
- Emergency Medicine Physician
- Lowell, MA
- NPI 1821280959
-
- Emergency Medicine Physician
- Winchester, MA
- NPI 1831131473
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1508045097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ELM ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103653",
"telephone_number": "617-877-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENERAL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412961",
"telephone_number": "978-683-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASER",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "AP2508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.