NPIMap

Individual provider Active NPI

Brett Jon Glawe, M.D.

  • Surgery Physician
  • Perham, MN
National Provider Identifier
1548589054
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59132 Issued in MN
Practice address
1000 Coney St W
Suite 140
Perham, MN 56573-2102
Phone
(218) 347-1200
NPI assigned
May 24, 2010
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R-8867 IA
Surgery Physician 208600000X 59132 MN Primary

Addresses

Primary practice location

1000 Coney St W
Suite 140
Perham, MN 56573-2102

Mailing address

1000 Coney St W
Suite 140
Perham, MN 56573-2102
Phone (218) 347-1200

Other practice location 1

211 E Mill St
Pelican Rapids, MN 56572-4234
Phone (218) 863-6100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bglawe6830420@direct.sanfordhealth.org
Direct Messaging Address bglawe6830420@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827003288 MN Practitioner - General Surgery 9133367501 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perham Hospital DistrictGroup PAC ID 2264327766, shared by 5 NPIs, 40 clinicians
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

Practice addresses (Care Compare)

1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1656

4 Deerwood Ave NW
Wadena, MN 56482-1253
Phone (218) 631-1360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
91.62
Promoting interoperability
100
Improvement activities
40
Cost
66.36

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59132MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astera Health Current Accepting new patients
Sanford Medical Center Fargo Surgery CurrentSince Jul 1, 2022 Accepting new patients
Perham Hospital District CurrentSince Jul 27, 2015 Accepting new patients
Astera Health CurrentSince Jul 16, 2018 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 1, 2022 Accepting new patients
Perham Hospital District CurrentSince Jul 27, 2015 Accepting new patients
Sanford Health Network CurrentSince Jan 15, 2021 Accepting new patients
Sanford Health Network CurrentSince Jan 15, 2021 Accepting new patients
Perham Hospital District Current Accepting new patients
Astera Health CurrentSince Jul 16, 2018 Accepting new patients
Perham Hospital District Current Accepting new patients
Sanford Clinic North Past Accepting new patients

Locations

211 E Mill St
Pelican Rapids, MN 56572
Phone (218) 863-6100

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

1000 Coney St W
Ste 140
Perham, MN 56573
Phone (218) 347-1200

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

4 Deerwood Ave NW
Wadena, MN 56482
Phone (218) 631-1100

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Interoperability endpoints

  • Direct secure messaging: bglawe411135@direct.centracare.com
  • Direct secure messaging: bglawe484424@direct.centracare.com
  • Direct secure messaging: bglawe6830420@direct.sanfordhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1548589054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CONEY ST W",
            "address_2": "SUITE 140",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732102",
            "telephone_number": "218-347-1200",
            "fax_number": "515-241-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CONEY ST W",
            "address_2": "SUITE 140",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732102",
            "telephone_number": "218-347-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E Mill St",
            "address_purpose": "LOCATION",
            "city": "Pelican Rapids",
            "state": "MN",
            "postal_code": "565724234",
            "country_code": "US",
            "telephone_number": "218-863-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAWE",
        "first_name": "BRETT",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R-8867",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "59132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bglawe6830420@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "211 E Mill St",
            "city": "Pelican Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565724234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bglawe6830420@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1000 Coney St W",
            "address_2": "Suite 140",
            "city": "Perham",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565732102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

Verify at the official NPI Registry.