Active NPI
Glenda Lynn Coleman, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
National Provider Identifier
1578587275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- J4753
- Practice address
- 6720 Bertner Ave
St. Luke's Episcopal Hospital
Houston, TX 77030 - Phone
- (832) 355-2628
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | J4753 | TX | Primary |
Addresses
Primary practice location
6720 Bertner Ave
St. Luke's Episcopal Hospital
Houston, TX 77030
Mailing address
PO Box 130141
Houston, TX 77219-0141
Phone (713) 523-8879
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons
- Otolaryngology Physician
- Houston, TX
- NPI 1093880437
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Family Medicine Physician
- Houston, TX
- NPI 1740354372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578587275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130141",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772190141",
"telephone_number": "713-523-8879",
"fax_number": "713-523-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 BERTNER AVE",
"address_2": "ST. LUKE'S EPISCOPAL HOSPITAL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-355-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "GLENDA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "J4753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.