Active NPI
James Glass Jr., PA-C
- Physician Assistant
- Goodfellow Afb, TX
National Provider Identifier
1528703337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 271 Fort Richardson Ave
Goodfellow Afb, TX 76908 - Phone
- (325) 654-4390
- NPI assigned
- May 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary | ||
| Military Health Care Provider | 171000000X |
Addresses
Primary practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908
Mailing address
271 Fort Richardson Avenue
San Angelo, TX 76908
Phone (325) 654-5765
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | james.w.glass37.mil@health.mil | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1528703337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 FORT RICHARDSON AVENUE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FORT RICHARDSON AVE",
"city": "GOODFELLOW AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "JAMES",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-05",
"last_updated": "2023-07-06",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "james.w.glass37.mil@health.mil",
"affiliation": "N",
"endpointDescription": "271 Fort Richardson Ave, Goodfellow AFB, TX 76908",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "271 Fort Richardson Ave",
"city": "Goodfellow AFB",
"state": "TX",
"country_code": "US",
"postal_code": "76908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Goodfellow Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.