Glen A. Pu, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

042921 Issued in GA

Practice address

950 County Road 553
Brownwood, TX 76801-0345

Phone

(803) 381-7497

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, SC, PA, OH, CO, KY, ND7 enrollments

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 7

Specialty

Diagnostic Radiology

Education

University of Massachusetts Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Texas Healthcare System IncGroup PAC ID 0941106363, 22 clinicians

Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
• Reid Health Hospital, Richmond, IN, CCN 150048
• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gpu476192@reidhealth.direct-ci.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.

• Northwest Texas Healthcare System Inc

  • Other Specialist/Technologist
  • Amarillo, TX
  • NPI 1154347987
  Medicare reassignment Care Compare group NPD
• Montrose Memorial Hospital, Inc

  • Emergency Medicine Physician
  • Montrose, CO
  • NPI 1528083771
  Medicare reassignment Care Compare group NPD
• Ashland Hospital Corporation

  • Community/Retail Pharmacy
  • Ironton, OH
  • NPI 1053748913

  KY

  Medicare reassignment NPD
• Ashland Hospital Corporation

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720

  OH

  Medicare reassignment NPD
• Delta Medix PC

  • Legal Medicine
  • Scranton, PA
  • NPI 1396701876
  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD
• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1740482686

  OH

  Medicare reassignment NPD
• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  Medicare reassignment NPD
• Methodist Associates in Healthcare, Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053355131

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006

  Diagnostic Radiology

  Medicare reassignment NPD
• Pennsylvania Radiology Associates PC

  • Diagnostic Radiology Physician
  • Windber, PA
  • NPI 1184443921

  TX

  Medicare reassignment NPD
• Radiology Associates of South Carolina LLC

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1083491906

  TX

  Medicare reassignment NPD

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

• Northwest Texas Healthcare System Inc

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  Care Compare affiliation
• Reid Hospital & Health Care Services, Inc

  • General Acute Care Hospital
  • Richmond, IN
  • NPI 1063457380
  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720069834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 553",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768010345",
            "telephone_number": "803-381-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 553",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768010345",
            "telephone_number": "803-381-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 S Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014847",
            "country_code": "US",
            "telephone_number": "970-240-7314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 Curtis Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042237",
            "country_code": "US",
            "telephone_number": "252-443-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014212",
            "country_code": "US",
            "telephone_number": "970-249-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PU",
        "first_name": "GLEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0074111",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "042921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BJ664",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000728351Q",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52614708 012",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000236416",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpu1526795@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2460 Curtis Ellis Dr",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Diagnostic Radiology Physician in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.