Active NPI
Glenna Carolyn Franke, D.O.
- General Practice Physician
- Bridgeton, MO
National Provider Identifier
1629077110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 29322
- Practice address
- 3394 McKelvey Rd
Ste 113
Bridgeton, MO 63044-2531 - Phone
- (314) 291-3409
- Fax
- (314) 739-6798
- NPI assigned
- Jul 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 29322 | MO | Primary |
| General Practice Physician | 208D00000X | 036056844 | IL |
Addresses
Primary practice location
3394 McKelvey Rd
Ste 113
Bridgeton, MO 63044-2531
Mailing address
3394 McKelvey Rd
Ste 113
Bridgeton, MO 63044-2531
Phone (314) 291-3409
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036056844 | IL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266710400000",
"number": "1629077110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3394 MCKELVEY RD",
"address_2": "STE 113",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442531",
"telephone_number": "314-291-3409",
"fax_number": "314-739-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 MCKELVEY RD",
"address_2": "STE 113",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442531",
"telephone_number": "314-291-3409",
"fax_number": "314-739-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKE",
"first_name": "GLENNA",
"middle_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2010-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "29322",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036056844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.