Glen D McBride Jr., M.A., CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

551 4TH Street
Scotland, SD 57059-0163

Phone

(573) 268-3711

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1699101873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570590163",
            "telephone_number": "573-268-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 4TH STREET",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570590163",
            "telephone_number": "573-268-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "GLEN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., CCCSLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Ray Johnson, D.D.S.
• Melissa Kludt, CNP
• Landmann Jungman Memorial Hospital Corporation (Landmann Jungman Memorial Hospital)
• Landmann Jungman Memorial Hospital Corporation (Scotland Medical Clinic)
• Landmann Jungman Memorial Hospital Corporation (Landmann Jungman Memorial Hospital)
• Shane Meyers, PTA, BSPTA
• Ashley Nicola, CNP
• Brandi Pravecek, C.N.P.
• Ramos Clinic, PC
• Rebecca Jo Rippe, D.P.T

• Speech-Language Pathologist in Scotland, SD
• Providers in Scotland, SD by specialty
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.