Active NPI
Patrick A Glover Jr., D.C.
- Chiropractor
- Erie, PA
National Provider Identifier
1508984592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007576L
- Practice address
- 3750 W 26TH St
Erie, PA 16506-2039 - Phone
- (814) 833-9399
- Fax
- (814) 836-2963
- NPI assigned
- Mar 27, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007576L | PA | Primary |
Addresses
Primary practice location
3750 W 26TH St
Erie, PA 16506-2039
Mailing address
3750 W 26TH St
Erie, PA 16506-2039
Phone (814) 833-9399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410491 | Other | PA | UPMC PROVIDER NUMBER |
| GL053927 | Other | PA | HIGHMARK BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3750 W 26TH St
Erie, PA 16506-2039
Phone (814) 833-9399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007576L | PA | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Erie, PA
- NPI 1235905548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1508984592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165062039",
"telephone_number": "814-833-9399",
"fax_number": "814-836-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165062039",
"telephone_number": "814-833-9399",
"fax_number": "814-836-2963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "PATRICK",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007576L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC PROVIDER NUMBER",
"identifier": "410491",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "GL053927",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.