Dudley Craig Glass, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52639 Issued in TN

Practice address

1020 N Highland Ave
Murfreesboro, TN 37130-2494

Phone

(615) 396-6620

Fax

(615) 396-6626

NPI assigned

Jul 20, 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 2

Other names 1

• Craig Glass Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dudley.glass.1@7654.direct.athenahealth.com

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.

• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Saint Thomas Rutherford Hospital

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386
  NPD (past)

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

• Saint Thomas Rutherford Hospital

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689694887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-396-6620",
            "fax_number": "615-396-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302494",
            "telephone_number": "615-396-6620",
            "fax_number": "615-396-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302450",
            "country_code": "US",
            "telephone_number": "615-396-6620",
            "fax_number": "615-396-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "DUDLEY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "52639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE PIN",
            "identifier": "103I081669",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013636",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRAIG",
            "last_name": "GLASS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ginger L Givens Coley, O.D.
• Cassandra A Gladkowski, FNP
• Eric J. Gladkowski, RPH,PHARMD
• Mary E. Glantz, M.A.,S.P.E.
• Ashley Manus Glaser, FNP
• Stephany Gleadall, LCSW
• Adra Glenn
• Karin Glenn
• Tammy M Glidden, PHYSICAL THERAPIST
• Jacob Glover

• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.