Bradley J Glenn, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

47408 Issued in WI

Practice address

784 El Pintado Rd
Danville, CA 94526-1407

Phone

(920) 562-6481

NPI assigned

Jun 23, 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 CA

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

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of Southern California Keck School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Hematology and Oncology Medical CentersGroup PAC ID 9032102520, 15 clinicians

Practice addresses (Care Compare)

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.

• Sierra Hematology and Oncology Medical Centers

  • Hematology & Oncology Physician
  • Carmichael, CA
  • NPI 1992796759
  Medicare reassignment Care Compare group
• Modesto Radiology Imaging, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1588954929
  NPD (past)
• Washington Radiologists Medical Group, Inc.

  • Specialist
  • Fremont, CA
  • NPI 1851355622
  NPD (past)
• Reno Radiological Associates, Chartered

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1780680017
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1699701680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 EL PINTADO RD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261407",
            "telephone_number": "920-562-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 EL PINTADO RD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261407",
            "telephone_number": "920-562-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "47408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34588100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Giannini
• James M. Giblin, D.D.S.
• Shannon Renee Gigounas, MSN, RN, FNP
• Charles Louis Giolzetti
• Hayes Bordman Gladstone, MD
• Marcia Mary Glick, PHARM.D.
• Prajakta Godbole
• Christyan Oswaldo Godinez Villalobos
• Susanne Goeb, PA-C
• Golden State Stroke and Neurocritical Care, Inc.

• Neuroradiology Physician in Danville, CA
• Providers in Danville, CA by specialty
• Neuroradiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.