Seth H Glick, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME99573 Issued in FL

Practice address

699 W Cocoa Beach Cswy Ste 506
Cocoa Beach, FL 32931-3562

Phone

(321) 630-2070

Fax

(321) 631-6489

NPI assigned

Jun 26, 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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Brevard Urology Associates PA

  • Urology Physician
  • Rockledge, FL
  • NPI 1780697854
  NPD (past)
• Hematology Oncology Associates of Central Brevard

  • Hematology & Oncology Physician
  • Rockledge, FL
  • NPI 1700960143
  NPD (past)
• Rocky Mountain Lithotripter LLC

  • Urology Physician
  • Englewood, CO
  • NPI 1134202435
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1689601874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-631-2070",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BEACH CSWY STE 506",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313562",
            "telephone_number": "321-630-2070",
            "fax_number": "321-631-6489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-361-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICK",
        "first_name": "SETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME99573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001359800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Geiger, ITDS
• Raymond J Giammanco, MD
• Madeline Vee Giera
• Gilbert Chiropractor PA
• Joseph B Glasner, M.D.
• Ross John Goodfellow, D.O.
• Douglas M Gordon, M.D.
• Michael Grainger, M.D.
• Barbara Greene
• Kristina Janet Greenfield, PSYD

• Urology Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.