Glen R. Couchman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G0386 Issued in TX

Practice address

409 W Adams Ave
Temple, TX 76501-4211

Phone

(254) 742-3700

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1528028479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847408",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014211",
            "telephone_number": "254-742-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCHMAN",
        "first_name": "GLEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "807508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coryell County Memorial Hospital Authority
• Camron Tavares Costa
• Steven Manuel Costa, M. D.
• Cottonwood Operations, LLC
• Brandon Richard Couch, MD
• Sierra Brooke Coufal
• David Michel Cousineau
• Brianna Danielle Covin, MD
• Heather MC Math Cox, LCSW
• Jamie McNeese Cox, R.D., L.D.

• Family Medicine Physician in Temple, TX
• Providers in Temple, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.